| Degraw Chiropractic Center, Inc | |
|
1993 Hamilton Blvd, Ste A, South Boston, VA 24592-2146 | |
| (434) 575-5130 | |
| (434) 575-7570 |
| Full Name | Degraw Chiropractic Center, Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1993 Hamilton Blvd, South Boston, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093877474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 0104001991 (Virginia) | Primary |
| Provider Name | Christopher J Degraw |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881694800 PECOS PAC ID: 2466535109 Enrollment ID: I20080219000054 |
| Provider Name | Dorothy A. Fensterer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881672467 PECOS PAC ID: 7618035767 Enrollment ID: I20081020000127 |
| Provider Name | Alexander Scott Tepper |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245948769 PECOS PAC ID: 8921476045 Enrollment ID: I20221122000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Degraw Chiropractic Center, Inc 1993 Hamilton Blvd, Suite A, South Boston, VA 24592-2146 Ph: (434) 575-5130 | Degraw Chiropractic Center, Inc 1993 Hamilton Blvd, Ste A, South Boston, VA 24592-2146 Ph: (434) 575-5130 |
Dale Francisco Williams, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1993 Hamilton Blvd, Ste A, South Boston, VA 24592 Phone: 434-575-5130 Fax: 434-575-7570 | |
Alexander Scott Tepper, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1993 Hamilton Blvd Ste A, South Boston, VA 24592 Phone: 434-575-5130 | |
Dorothy A. Fensterer, D.c., P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 103 Main St, South Boston, VA 24592 Phone: 434-575-6470 Fax: 434-575-6471 | |
Dr. Dorothy A. Fensterer, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1993 Hamilton Blvd, Suite A, South Boston, VA 24592 Phone: 434-575-5130 Fax: 434-575-7570 | |
Dr. Christopher James Degraw, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1993 Hamilton Blvd, Ste A, South Boston, VA 24592 Phone: 434-575-5130 Fax: 434-575-7570 |