Individual
JON M SWEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1906 BELLEVIEW AVENUE, ROANOKE, VA 24016
(540) 224-5170
(540) 983-8229
Mailing address
1906 BELLEVIEW AVENUE, ROANOKE, VA 24014
(540) 224-5170
(540) 983-8229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101052507
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5840988
—
VA
05
—
5850789
—
VA
05
—
5885914
—
VA
Enumeration date
11/18/2005
Last updated
08/12/2011
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