# ROANOKE FAMILY MEDICINE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508963794
- **Authorized official:** MR. EDWARD L WILKES (PRESIDENT)
- **Authorized official phone:** (540) 721-1006

## Contact information

- **Practice address:** 3990 COLONIAL AVE, ROANOKE, VA 24018-3740
- **Practice address phone:** (540) 772-1006
- **Practice address fax:** (540) 772-1086
- **Mailing address:** PO BOX 4127, ROANOKE, VA 24015-0127
- **Mailing address phone:** (540) 981-9394
- **Mailing address fax:** (540) 344-7154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 11/25/2014