Organization · Type 2 NPI

Chippenham & Johnston Willis Sports Medicine, LLC

Specialist · Midlothian, VA

NPI number 1770813230 Active

Practice location

11621 Robious Rd
Midlothian, VA 23113-2349

Call (804) 560-6500 Map

Fax (804) 560-6505

Mailing address

500 Hioaks Rd, Suite A
Richmond, VA 23225-4061

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

6 other providers at this address

Other specialist providers in Midlothian

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NPI record

NPI: 1770813230
Entity type: Organization (Type 2)
Issued: Jan 6, 2010
Last updated: Jan 7, 2010
Status: Active
Subpart: Yes of Chippenham & Johnston Willis Hospitals

Other names

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CJW Sports Medicine, LLC · doing business as

Authorized official

Mr. Hunter Lee Durvin, ATC
Manager
(804) 560-6511

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1770813230

Chippenham & Johnston Willis Sports Medicine, LLC's National Provider Identifier is 1770813230, issued on Jan 6, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Midlothian, VA. The record was last updated on Jan 7, 2010.