| NPI | 1639448962 |
|---|---|
| Doing Business As | CJW SPORTS MEDICINE, LLC |
| Entity Type | Organization |
| Authorized Contact | HUNTER L. DURVIN Practice Manager 804-560-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |