Organization
CENTER FOR ADVANCED LIPID MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE CHACONAS M.D. (PRESIDENT)
(540) 588-7115
Entity
Organization
Contact information
Practice address
4806 PLEASANT HILL DR, SUITE 201, ROANOKE, VA 24018-3441
(540) 588-7115
Mailing address
38 PEAKS VIEW DR, MONETA, VA 24121-2566
(540) 588-7115
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
0101038267
VA
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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