Organization
DIVINE MEDICAL SERVICES
Active
Other names
Divine Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINELO J OKONKWO DMS-PAC (INDEPENDENT PRACTITINER PA-C)
(410) 905-5640
Entity
Organization
Contact information
Practice address
700 S SYCAMORE ST STE 15, PETERSBURG, VA 23803-5804
(804) 481-1159
(804) 203-1919
Mailing address
207 CASTLEWELLAN CT, CHESTER, VA 23836-2906
(804) 481-1159
(804) 203-1919
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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