Individual
CAMRON L JOHNSON PRIVITERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5000 BRAMBLETON AVE STE B, ROANOKE, VA 24018-4642
(540) 200-8091
(540) 779-7848
Mailing address
5000 BRAMBLETON AVE STE B, ROANOKE, VA 24018-4642
(540) 200-8091
(540) 779-7848
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102201592
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010072701
—
VA
01
—
139824
ANTHEM
VA
01
—
244013
SOUTHERN HEALTH
VA
01
—
54088505618
JOHN DEERE
VA
01
—
6830577
CIGNA
VA
01
—
7861556
AETNA
VA
Enumeration date
06/09/2005
Last updated
01/30/2026
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