Organization
JIMMIE L. MASK, D.C., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMIE L. MASK D.C. (PRESIDENT)
(276) 632-8385
Entity
Organization
Contact information
Practice address
825 MEMORIAL BLVD N, MARTINSVILLE, VA 24112-2418
(276) 632-8385
Mailing address
825 MEMORIAL BLVD N, MARTINSVILLE, VA 24112-2418
(276) 632-8385
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000158
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075006
ANTHEM
VA
01
—
255239
MAMSI
VA
01
—
8596
PARTNERS
VA
Enumeration date
05/24/2007
Last updated
08/22/2020
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