| Carilion Medical Center | |
|
2017 Jefferson St Sw Roanoke VA 24014-2419 | |
| (540) 981-7128 | |
| Not Available |
| Full Name | Carilion Medical Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2017 Jefferson St Sw, Roanoke, Virginia |
| Authorized Official Name and Position | Nicole Grisetti (DIRECTOR OF OPERATIONAL SUPPORT) |
| Authorized Official Contact | 5402245352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carilion Medical Center 213 S Jefferson St Ste 1006 Roanoke VA 24011-1713 Ph: (540) 224-5715 | Carilion Medical Center 2017 Jefferson St Sw Roanoke VA 24014-2419 Ph: (540) 981-7128 |
| NPI Number | 1114399276 |
|---|---|
| Provider Enumeration Date | 10/28/2015 |
| Last Update Date | 05/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114399276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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