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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