Individual
THOMAS JORDAN O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
390 S MAIN ST STE 201, ROCKY MOUNT, VA 24151-1767
(540) 484-4800
(540) 484-4847
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102209962
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2023
Last updated
05/12/2026
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