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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

NPI Number 1205258829
LBN Legal business name ROANOKE ADULT MEDICINE LLC
Authorized official WILLIAM WARD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/16/2014
Last updated 01/16/2014 - About 12 years ago
Identifiers
VA License # 0101024791
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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