Individual
DR. SUSAN B DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1215 3RD ST SW, ROANOKE, VA 24016-4611
(540) 981-1439
Mailing address
1215 3RD ST SW, ROANOKE, VA 24016-4611
(540) 981-1439
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101049876
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005940583
—
VA
01
—
242781
ANTHEM VA PROVIDER NUMBER
VA
Enumeration date
05/27/2006
Last updated
12/09/2020
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