Individual
ANITA REGISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
390 S MAIN ST STE 101, ROCKY MOUNT, VA 24151-1767
(540) 484-4836
(540) 484-4837
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5516
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
OT016469
PA
207VX0000X
Obstetrics Physician
Primary
0102205646
VA
Other
Enumeration date
05/05/2015
Last updated
04/28/2026
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