Individual
MARIE SHOCKLEY CREECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1906 BELLEVIEW AVE, ROANOKE, VA 24014
(540) 981-7000
Mailing address
1906 BELLEVIEW AVE, ROANOKE, VA 24014
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002202
VA
363AM0700X
Medical Physician Assistant
0110-002202
VA
363AS0400X
Surgical Physician Assistant
0110-002202
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010219477
—
VA
05
—
010219825
—
VA
Enumeration date
04/11/2006
Last updated
03/21/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us