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Divine Medical Services
Clinic/Center in Petersburg, Virginia
NPI 1629843016

Divine Medical Services is a Clinic/Center based in Chester, VA. Divine Medical Services practices in Petersburg, VA. The NPI Number for Divine Medical Services is 1629843016 and holds a License No. (Virginia).

The current practice location address for Divine Medical Services is 700 S Sycamore St Ste 15, Petersburg, VA and can be reached out via phone at 804-481-1159 and via fax at 804-203-1919.

Location: 700 S Sycamore St Ste 15, Petersburg, VA, 23836-2906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629843016
Provider Name
Divine Medical Services
Credential
Provider Entity Type
Organization
Address
700 S Sycamore St Ste 15, Petersburg, VA, 23836-2906
Phone Number
804-481-1159
Fax Number
804-203-1919
Provider Enumeration Date
11/16/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
700 S Sycamore St Ste 15
City
Petersburg
State
Virginia
Zip
23803-5804
Phone Number
804-481-1159
Fax Number
804-203-1919
person
Provider Business Mailing Address Details
Address
700 S Sycamore St Ste 15
City
Petersburg
State
Virginia
Zip
23803-5804
Phone Number
804-481-1159
Fax Number
804-203-1919
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
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).
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