Organization
JRG OF VIRGINIA LLC
Active
Other names
Joint Regeneration Group of Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS F CAMPAGNOLI (OWNER)
(540) 900-5633
Entity
Organization
Contact information
Practice address
1315 2ND ST SW STE 103, ROANOKE, VA 24016-4935
(540) 900-5633
(540) 730-7780
Mailing address
1315 2ND ST SW STE 103, ROANOKE, VA 24016-4935
(540) 900-5633
(540) 730-7780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/05/2021
Last updated
11/09/2021
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