Individual
ANDREW LEE JUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
101 ELM AVE SE, ROANOKE, VA 24013-2222
(888) 985-8483
Mailing address
2317 BROADWAY AVE SW APT E, ROANOKE, VA 24014-1667
(703) 650-8228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008142
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/29/2020
Last updated
09/18/2024
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