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Contact Information

WILLIAM E JEFFERSON III, MD
1 RIVERSIDE CIR
SUITE 105
ROANOKE, VA24016-4961
 Phone: 540-581-0150
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for WILLIAM E JEFFERSON III · (Male)

NPI # 1275532236
Status Active
Credentials MD
Entity Individual
Enumeration date 07/20/2005
Last updated 05/26/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101042761
  • VA Medicaid 006606431
  • WV Medicaid 6600046000
  • Other 220030578 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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