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Individual

AMANDA LYNN GILLESPIE-TWARDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2013 JEFFERSON ST SW FL 2, ROANOKE, VA 24014-2419
(540) 982-0237
(540) 982-2719
Mailing address
2013 JEFFERSON ST SW FL 2, ROANOKE, VA 24014-2419
(540) 982-0237
(540) 982-2719

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101256425
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417140559
VA
01
P01357246
RAILROAD MEDICARE
VA
Enumeration date
08/22/2007
Last updated
10/29/2014
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