Player Prospect, Llc | |
440 Highland Ave Sw Roanoke VA 24016-4214 | |
(540) 815-4557 | |
Not Available |
Full Name | Player Prospect, Llc |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 440 Highland Ave Sw, Roanoke, Virginia |
Authorized Official Name and Position | Adam Mcculloch Williams (PRESIDENT) |
Authorized Official Contact | 5408154557 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Player Prospect, Llc 440 Highland Ave Sw Roanoke VA 24016-4214 Ph: () - | Player Prospect, Llc 440 Highland Ave Sw Roanoke VA 24016-4214 Ph: (540) 815-4557 |
NPI Number | 1659645943 |
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Provider Enumeration Date | 03/04/2012 |
Last Update Date | 03/04/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659645943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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