| First Light Clinic LLC | |
|
706 Campbell Ave Sw Roanoke VA 24016-3534 | |
| (540) 400-7841 | |
| (540) 400-8177 |
| Full Name | First Light Clinic LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 706 Campbell Ave Sw, Roanoke, Virginia |
| Authorized Official Name and Position | Kelley Burnette (OFFICE MANAGER) |
| Authorized Official Contact | 5404007841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Light Clinic LLC 706 Campbell Ave Sw Roanoke VA 24016-3534 Ph: (540) 400-7841 | First Light Clinic LLC 706 Campbell Ave Sw Roanoke VA 24016-3534 Ph: (540) 400-7841 |
| NPI Number | 1851924088 |
|---|---|
| Provider Enumeration Date | 02/17/2020 |
| Last Update Date | 02/17/2020 |
| Certification Date | 02/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851924088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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