Organization
LEWIS GALE PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAN WARNER FORE (CREDENTIALING AND ENROLLMENT)
(540) 772-3743
Entity
Organization
Contact information
Practice address
490 S MAIN ST, ROCKY MOUNT, VA 24151-1762
(540) 772-3707
Mailing address
490 S MAIN ST, ROCKY MOUNT, VA 24151-1762
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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