Organization
LEWIS-GALE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTIS W BLACKWOOD (PRACTICE ADMINISTRATOR)
(540) 772-3672
Entity
Organization
Contact information
Practice address
230 S MAIN ST, ROCKY MOUNT, VA 24151-1709
(540) 483-3100
(540) 483-3115
Mailing address
230 S MAIN ST, ROCKY MOUNT, VA 24151-1709
(540) 483-3100
(540) 483-3115
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0101018545
VA
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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