Individual
NECRISHA NADIA CLEAVIA ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1221 LEE ST, CHARLOTTESVILLE, VA 22908-5051
(434) 924-2706
(434) 924-9068
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101269061
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2016
Last updated
08/11/2023
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