Organization
CHIPPENHAM & JOHNSTON WILLIS SPORTS MEDICINE, LLC
Active
Parent organization
CHIPPENHAM & JOHNSTON WILLIS HOSPITALS
Other names
CJW Sports Medicine, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHIPPENHAM & JOHNSTON WILLIS HOSPITALS
Authorized official
MR. HUNTER LEE DURVIN ATC (MANAGER)
(804) 560-6511
Entity
Organization
Contact information
Practice address
11621 ROBIOUS RD, MIDLOTHIAN, VA 23113-2349
(804) 560-6500
(804) 560-6505
Mailing address
500 HIOAKS RD, SUITE A, RICHMOND, VA 23225-4061
(804) 560-6500
(804) 560-6505
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/06/2010
Last updated
01/07/2010
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