Individual
EDNA HODGE CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2180 STONEY MOUNTAIN RD, MARTINSVILLE, VA 24112-1233
(434) 770-1354
(276) 336-3898
Mailing address
2180 STONEY MOUNTAIN RD, MARTINSVILLE, VA 24112-1233
(434) 770-1354
(276) 336-3898
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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