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Individual

DR. CHRISTOPHER JAMES DEGRAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1993 HAMILTON BLVD, STE A, SOUTH BOSTON, VA 24592-2146
(434) 575-5130
(434) 575-7570
Mailing address
1993 HAMILTON BLVD, STE A, SOUTH BOSTON, VA 24592-2146
(434) 575-5130
(434) 575-7570

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104001991
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
258224
ANTHEM
VA
Enumeration date
08/01/2005
Last updated
12/10/2009
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