| Brain Injury Services Of Swva | |
|
3904 Franklin Rd Sw Ste B Roanoke VA 24014-3039 | |
| (540) 344-1200 | |
| Not Available |
| Full Name | Brain Injury Services Of Swva |
|---|---|
| Speciality | Psychiatry & Neurology - Brain Injury Medicine |
| Location | 3904 Franklin Rd Sw Ste B, Roanoke, Virginia |
| Authorized Official Name and Position | Jodi Judge (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5403441200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Injury Services Of Swva 3904 Franklin Rd Sw Ste B Roanoke VA 24014-3039 Ph: (540) 344-1200 | Brain Injury Services Of Swva 3904 Franklin Rd Sw Ste B Roanoke VA 24014-3039 Ph: (540) 344-1200 |
| NPI Number | 1649968223 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 11/06/2023 |
| Certification Date | 08/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649968223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0301X | Psychiatry & Neurology - Brain Injury Medicine | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
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