CHISOVEREIGN PLLC is a medical specialty clinic center in Fairfax, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). CHISOVEREIGN PLLC NPI is 1225454291. The provider is registered as an organization entity type.
The provider's business location address is:
3975 FAIR RIDGE DR
SUITE 150N
FAIRFAX, VA
ZIP 22033-911
Phone: (703) 246-0011
Fax: (703) 246-0012
The provider's authorized official is Ijeoma N Nnamani .
The authorized official title is Director and has the following contact phone number (703) 505-2476.
The enumeration date for this NPI number is 3/13/2014 and was last updated on 3/13/2014.