Organization
THE GROVE CENTER FOR CHIROPRACTIC & WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRSTEN S. GROVE D.C. (OWNER/ DR. OF CHIROPRACTIC)
(706) 760-8110
Entity
Organization
Contact information
Practice address
8381 OLD COURTHOUSE RD STE 150, VIENNA, VA 22182-3830
(703) 760-8110
(703) 760-8111
Mailing address
8381 OLD COURTHOUSE RD STE 150, VIENNA, VA 22182-3830
(703) 760-8110
(703) 760-8111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001478
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141930
ANTHEM BCBS PROVIDER
VA
Enumeration date
12/18/2006
Last updated
02/14/2019
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