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Individual

DR. JAMES WOMICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
111 W VIRGINIA BEACH BLVD, NORFOLK, VA 23510-2005
(757) 623-7776
Mailing address
10519 HIGHWAY 149, PO BOX 1649, MURPHYSBORO, IL 62966-3310

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104557816
VA
111NS0005X
Sports Physician Chiropractor
038-007498
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038007498
IL
01
350046774
RR MEDICARE
IL
01
3921560
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/15/2007
Last updated
02/21/2023
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