Organization · Type 2 NPI
Divine Medical Services
Clinic/Center · Petersburg, VA
NPI number
1629843016
Active
Practice location
700 S Sycamore St Ste 15
Petersburg, VA 23803-5804
Fax (804) 203-1919
Mailing address
207 Castlewellan Ct
Chester, VA 23836-2906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Other clinic/center providers in Petersburg
About NPI 1629843016
Divine Medical Services's National Provider Identifier is 1629843016, issued on Nov 16, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Petersburg, VA. The record was last updated on Nov 16, 2023.