Organization
DERMATOLOGY ASSOCIATES OF ROANOKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE R CRAIG (OFFICE MANAGER)
(540) 345-6010
Entity
Organization
Contact information
Practice address
1215 3RD ST SW, ROANOKE, VA 24016-4611
(540) 345-6010
(540) 345-5446
Mailing address
1215 3RD ST SW, ROANOKE, VA 24016-4611
(540) 345-6010
(540) 345-5446
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101049323
VA
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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