Organization
NOVA SPINE & INJURY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C SHAFFER DC (OWNER / PRESIDENT)
(703) 222-6211
Entity
Organization
Contact information
Practice address
4211 FAIRFAX CORNER EAST AVE, SUITE 200, FAIRFAX, VA 22030-8622
(703) 222-6211
(703) 222-6212
Mailing address
42020 VILLAGE CENTER PLZ, SUITE 120, PMB 177, STONE RIDGE, VA 20105-3034
(703) 222-6211
(703) 222-6212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556356
VA
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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