Organization
THE NATIONAL SPORTS MEDICINE INSTITUTE,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHARLES JOHNSON M.D. (PRESIDENT)
(703) 729-5010
Entity
Organization
Contact information
Practice address
19455 DEERFIELD AVE, SUITE 312, LANSDOWNE, VA 20176-8102
(703) 729-5010
(703) 729-5833
Mailing address
19455 DEERFIELD AVE, SUITE 312, LANSDOWNE, VA 20176-8102
(703) 729-5010
(703) 729-5833
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
03/07/2007
Last updated
09/23/2020
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