Organization
LEWIS-GALE PHYSICIANS, LLC
Active
Other names
Lewis-Gale Family Care - Clearbrook
Organization subpart
No
Provider details
NPI number
Authorized official
OTIS BLACKWOOD (PRACTICE ADMINISTRATOR)
(540) 772-3672
Entity
Organization
Contact information
Practice address
5303B INDIAN GRAVE RD SW, ROANOKE, VA 24014-6607
(540) 725-3060
(540) 772-4948
Mailing address
5303B INDIAN GRAVE RD SW, ROANOKE, VA 24014-6607
(540) 725-3060
(540) 772-4948
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101033197
VA
Other
Enumeration date
02/03/2006
Last updated
08/22/2020
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