| NPI | 1770813230 |
|---|---|
| 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 | 2010-01-06 |
| Last Update Date | 2010-01-07 |