Healthcare Provider Details
I. General information
NPI: 1497162549
Provider Name (Legal Business Name): AMERICAN CMG SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2014
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
750 LOMBARDY ST
SOUTH HILL VA
23970-2112
US
IV. Provider business mailing address
2120 TOMLYNN ST
RICHMOND VA
23230-3317
US
V. Phone/Fax
- Phone: 434-774-2506
- Fax: 757-548-5657
- Phone: 804-353-9077
- Fax: 804-353-9159
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHEA
STOKESBARY
Title or Position: OWNER
Credential: CPO, MSOP
Phone: 804-533-7272