Organization
ROANOKE SURGERY CENTER, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GREGORY SWINNEY (VP)
(972) 789-2877
Entity
Organization
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 725-4533
(540) 725-4543
Mailing address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 725-4533
(540) 725-4543
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OH697
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010276039
—
VA
Enumeration date
07/10/2006
Last updated
02/15/2018
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