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Organization

PLAYER PROSPECT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADAM MCCULLOCH WILLIAMS (PRESIDENT)
(540) 815-4557
Entity
Organization

Contact information

Practice address
440 HIGHLAND AVE SW, ROANOKE, VA 24016-4214
(540) 815-4557
Mailing address
440 HIGHLAND AVE SW, ROANOKE, VA 24016-4214

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
03/04/2012
Last updated
03/04/2012
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  • Eligibility checks
  • EDI platform