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Colleen James Mattocks, DO
Family Medicine Physician in Roanoke, Virginia
NPI 1134387830

Colleen James Mattocks is a Family Medicine Physician based in Roanoke, VA. Colleen James Mattocks practices in Roanoke, VA and has the professional credentials of DO. The NPI Number for Colleen James Mattocks is 1134387830 and holds a License No. 37742 (Virginia).

The current practice location address for Colleen James Mattocks is 3707 Brambleton Ave, Roanoke, VA and can be reached out via phone at 540-725-7800 and via fax at 540-725-7849.

Location: 3707 Brambleton Ave, Roanoke, VA, 24018-3658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134387830
Provider Name
Colleen James Mattocks
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
3707 Brambleton Ave, Roanoke, VA, 24018-3658
Phone Number
540-725-7800
Fax Number
540-725-7849
Provider Enumeration Date
05/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
VV2490A 01 VA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
3707 Brambleton Ave
City
Roanoke
State
Virginia
Zip
24018-3658
Phone Number
540-725-7800
Fax Number
540-725-7849
person
Provider Business Mailing Address Details
Address
3707 Brambleton Ave
City
Roanoke
State
Virginia
Zip
24018-3658
Phone Number
540-725-7800
Fax Number
540-725-7849
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
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Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
37742 (South Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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