Individual
ANNE M JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4461 STARKEY RD, SUITE 201, ROANOKE, VA 24018-0620
(540) 345-4946
(540) 982-7164
Mailing address
4461 STARKEY RD, SUITE 201, ROANOKE, VA 24018-0620
(540) 345-4946
(540) 982-7164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101051475
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VVN622A
MEDICARE-PALMETTO GBA
—
Enumeration date
11/03/2005
Last updated
05/09/2017
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