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Individual

MARY GAYLE SWEET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1314 PETERS CREEK RD NW, ROANOKE, VA 24017-2500
(540) 562-5700
Mailing address
6210 JULIET CT, ROANOKE, VA 24018-7796
(540) 776-7738

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-227058
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5616336
VA
05
5619149
VA
Enumeration date
11/04/2005
Last updated
08/12/2011
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