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NPI Code Detail

MEDICARE: DR. JUSTIN CHAMBLEE

MEDICARE: DR. JUSTIN CHAMBLEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202215468VA

General Provider Information

NPI Number : 1417490517
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUSTIN CHAMBLEE
Provider Business Mailing Address
First Line : 620 JOHN PAUL JONES CIR STE 275
Second Line :
City : PORTSMOUTH
State : VA
Zip : 23708-2197
Country : US
Telephone Number : 757-953-4935
Fax Number :
Provider Business Practice Location Address
First Line : 620 JOHN PAUL JONES CIR
Second Line :
City : PORTSMOUTH
State : VA
Zip : 23708-2111
Country : US
Telephone Number : 757-953-4935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2016
Last Update Date : 02/09/2026

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Directions to “ DR. JUSTIN CHAMBLEE ” Practice Location

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