Individual
MARION KEMPER HUMPHRIES III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 S JEFFERSON ST, ROANOKE, VA 24016-5100
(540) 855-5100
Mailing address
PO BOX 1789, ROANOKE, VA 24008-1789
(540) 855-5100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101017954
VA
Other
Enumeration date
06/16/2005
Last updated
07/08/2007
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