Individual
CHRISTOPHER L MASSENGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4374 NEW TOWN AVE, SUITE 200, WILLIAMSBURG, VA 23188-2865
(757) 220-2795
(757) 259-8797
Mailing address
4374 NEW TOWN AVE, SUITE 200, WILLIAMSBURG, VA 23188-2865
(757) 220-2795
(757) 259-8797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101222011
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
04/14/2006
Last updated
04/09/2014
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