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 |