institution
South Roanoke Ob-gyn Pc
Gynecology Physician in Roanoke, Virginia
NPI 1598790115

South Roanoke Ob-gyn Pc is a Gynecology Physician based in Roanoke, VA and is specialized in Gynecology. South Roanoke Ob-gyn Pc practices in Roanoke, VA. The NPI Number for South Roanoke Ob-gyn Pc is 1598790115 and holds a License No. 0101237419 (Virginia).

The current practice location address for South Roanoke Ob-gyn Pc is 2110 Carolina Ave Sw, Roanoke, VA and can be reached out via phone at 540-345-3556 and via fax at 540-342-2193.

Location: 2110 Carolina Ave Sw, Roanoke, VA, 24014-0478
institution
Provider Profile Details
NPI Number
1598790115
Provider Name
South Roanoke Ob-gyn Pc
Credential
Provider Entity Type
Organization
Address
2110 Carolina Ave Sw, Roanoke, VA, 24014-0478
Phone Number
540-345-3556
Fax Number
540-342-2193
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DD7281 01 VA RAILROAD MEDICARE
179613 01 VA ANTHEM
institution
Provider Business Practice Location Address Details
Address
2110 Carolina Ave Sw
City
State
Zip
24014-1702
Phone Number
540-345-3556
Fax Number
540-342-2193
person
Provider Business Mailing Address Details
Address
2110 Carolina Ave Sw
City
State
Zip
24014-1702
Phone Number
540-345-3556
Fax Number
540-342-2193
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
0101237419 (Virginia)
Definition
Definition to come...
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