Provider First Line Business Practice Location Address:
3390 COLONIAL AVE
Provider Second Line Business Practice Location Address:
ROANOKE FAMILY MEDICINE INC
Provider Business Practice Location Address City Name:
ROANOKE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-772-1006
Provider Business Practice Location Address Fax Number:
540-772-1086
Provider Enumeration Date:
02/09/2006