Divine Medical Services

NPI #1629843016 in Petersburg, Virginia

Provider Information

NPI Number: 1629843016
Entity Type: Organization
Organization Name: Divine Medical Services
Primary Specialty: Clinic/Center
Enumeration Date: Nov 16, 2023
Last Updated: Nov 16, 2023

Practice Location

Address: 700 S SYCAMORE ST STE 15
City: Petersburg
State: Virginia
ZIP Code: 23803-5804
Phone: (804) 481-1159

Authorized Official

Name: DR. CHINELO J OKONKWO, DMS-PAC
Title: INDEPENDENT PRACTITINER PA-C
Phone: (410) 905-5640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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