| NPI | 1467576249 |
|---|---|
| Doing Business As | CJW SPORTS MEDICINE, LLC |
| Entity Type | Organization |
| Authorized Contact | HUNTER LEE DURVIN Manager 804-560-6511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-01-29 |