Organization
THOMAS JOHNS CANCER HOSPITAL AT JOHNSTON WILLIS HOSPITAL
Active
Other names
CJW Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNE COLLIGON NP (ONCOLOGY ADMINISTRATOR)
(804) 267-6074
Entity
Organization
Contact information
Practice address
1401 JOHNSTON WILLIS DR, NORTH CHESTERFIELD, VA 23235-4730
(804) 330-2323
(804) 267-6130
Mailing address
1401 JOHNSTON WILLIS DR, NORTH CHESTERFIELD, VA 23235-4730
(804) 330-2323
(804) 267-6130
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
0001159082
VA
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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