Organization Name: | PERSONS ORTHOPAEDIC SPORTS MEDICINE AND JOINT REPLACEMENT CENTER, PC |
NPI Number: | 1104167626 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY B PERSONS (PHYSICIAN) |
Mailing Address: | 1005 Commercial Ln Suite 210 Suffolk |
State: | VA US |
Postal Code: | 234348149 |
Phone Number: | 7574108954 |
Fax Number: | 7574108963 |
NPI Enumeration Date: | 03/07/2013 |
NPI Last Update Date: | 03/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0101039588 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |