Individual
HANNAH SELDOMRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4633 BRAMBLETON AVE STE 100, ROANOKE, VA 24018-3410
(540) 968-7368
(844) 212-0402
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110007309
VA
Other
Enumeration date
05/30/2020
Last updated
06/13/2024
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