| NPI | 1770572885 |
|---|---|
| Doing Business As | NO DBA CJW SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CAROL SMITH VP 804-237-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2007-09-26 |