Provider First Line Business Practice Location Address:
1906 BELLEVIEW AVE SE
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT 1 SOUTH
Provider Business Practice Location Address City Name:
ROANOKE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24014-1838
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-266-6331
Provider Business Practice Location Address Fax Number:
540-981-9550
Provider Enumeration Date:
10/26/2006