Organization
CAVALIER CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORGAN AUGUSTUS JOE JR. DC (OWNER PRESIDENT)
(757) 513-5421
Entity
Organization
Contact information
Practice address
4740 BAXTER RD, VIRGINIA BEACH, VA 23462
(757) 513-5421
Mailing address
1100 S CARRINGTON CRES, PORTSMOUTH, VA 23701-3806
(757) 513-5421
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001802
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0300390
—
VA
01
—
383801
ANTHEM BCBS
VA
Enumeration date
02/01/2007
Last updated
08/22/2020
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