# SOUTHWEST MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1538294640
- **Authorized official:** DAVID A CUMMINGS DO (PHYSICIAN-PRESIDENT)
- **Authorized official phone:** (540) 989-5594

## Contact information

- **Practice address:** 4079 ELECTRIC RD, ROANOKE, VA 24018-8442
- **Practice address phone:** (540) 989-5594
- **Practice address fax:** (540) 776-8020
- **Mailing address:** PO BOX 4127, ROANOKE, VA 24015-0127
- **Mailing address phone:** (540) 989-9394
- **Mailing address fax:** (540) 344-7154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 07/13/2007
