Organization
SOUTHWEST VIRGINIA EYE CENTER, PLLC
Active
Organization
SOUTHWEST VIRGINIA EYE CENTER, PLLC
Active
Other names
Southwest Virginia Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN STANWOOD TILL MD (OWNER)
(540) 772-3978
Entity
Organization
Contact information
Practice address
3090 ELECTRIC RD, FSUITE B, ROANOKE, VA 24018-3503
(540) 772-3978
(540) 400-0001
Mailing address
3090 ELECTRIC RD, FSUITE B, ROANOKE, VA 24018-3503
(540) 772-3978
(540) 400-0001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101040106
VA
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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