NPI 1528213931

Derjan Group

Organisation Preferred Provider Organization Chesapeake, VA

Practice location

Address: 550 North Battlefield, Chesapeake, VA 23320-3544
Phone: (757) 831-3919
Mailing address: 801 Shadowberry Crst, Chesapeake, VA 23320-3544

Authorised official

Name: Derek Griffin
Title: Owner
Phone: (757) 831-3919

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 305R00000X

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Registry record

NPI: 1528213931
Entity type: Organization
NPI issued: 26 Nov 2008
Record last updated: 26 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.