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Organization

CHIPPENHAM AND JOHNSTON-WILLIS SPORTS MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUZANNE BERGAMO (VICE PRESIDENT)
(804) 267-5950
Entity
Organization

Contact information

Practice address
1115 BOULDERS PKWY STE 110, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-6500
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
06/06/2006
Last updated
11/20/2025
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