Organization
AXIS MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARION CONSTANTINIDES DC (CEO)
(757) 965-2476
Entity
Organization
Contact information
Practice address
4542 BONNEY RD STE B, VIRGINIA BEACH, VA 23462-3867
(757) 965-2476
Mailing address
4542 BONNEY RD STE B, VIRGINIA BEACH, VA 23462-3867
(757) 965-2476
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NN0400X
Neurology Chiropractor
—
—
163W00000X
Registered Nurse
—
—
175L00000X
Homeopath
—
—
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/09/2022
Last updated
08/31/2022
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