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Contact Information

ROANOKE ADULT MEDICINE LLC
1708 CLAY ST SE
ROANOKE, VA24013-2105
 Phone: 540-309-7569
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ROANOKE ADULT MEDICINE LLC · (Female)

NPI Number 1205258829
Status Active
Credentials
Entity Individual
Enumeration date 01/16/2014
Last updated 01/16/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0101024791
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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