Individual
JERRY A GERMROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
759 S MAIN ST, SUITE 300, WOODSTOCK, VA 22664-1127
(540) 459-1540
(540) 459-1486
Mailing address
220 CAMPUS BLVD, STE 100, WINCHESTER, VA 22601-2888
(540) 678-3588
(540) 678-9025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101034309
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006015808
—
VA
01
—
012268
BCBS
VA
Enumeration date
07/19/2005
Last updated
03/11/2019
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