Organization
JEFFERSON INTERNAL MEDICINE ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH B CARROLL (PRACTICE MANAGER)
(540) 342-1007
Entity
Organization
Contact information
Practice address
1111 S JEFFERSON ST, SUITE B, ROANOKE, VA 24016-4724
(540) 342-1007
(540) 345-4643
Mailing address
1111 S JEFFERSON ST, SUITE B, ROANOKE, VA 24016-4724
(540) 342-1007
(540) 345-4643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072204
ANTHEM
—
01
—
3374958
CIGNA
—
Enumeration date
11/02/2005
Last updated
08/22/2020
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