Individual
JIM WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 CRYSTAL SPRING AVE SW STE 301, ROANOKE, VA 24014-2465
(540) 981-7715
(540) 981-7965
Mailing address
2001 CRYSTAL SPRING AVE SW STE 301, ROANOKE, VA 24014-2465
(540) 981-7715
(540) 981-7965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101253634
VA
Other
Enumeration date
02/26/2010
Last updated
12/08/2020
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