Organization
ON-SITE SPORTS MEDICINE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TALENA COX WILLIAMS ATC/L; PA-C (CEO/PRESIDENT)
(800) 472-0646
Entity
Organization
Contact information
Practice address
440 HIGHLAND AVE SW, ROANOKE, VA 24016-4214
(180) 047-2064
Mailing address
PO BOX 21467, ROANOKE, VA 24018-0555
(180) 047-2064
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
VA
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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