Organization
IGNITE WELLNESS CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES FARMER (PRESIDENT)
(540) 345-3556
Entity
Organization
Contact information
Practice address
4633 BRAMBLETON AVE STE 200, ROANOKE, VA 24018-3410
(540) 345-3556
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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