| 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 | Player Prospect, LLC 440 Highland Ave Sw Roanoke VA 24016-4214 Ph: (540) 815-4557 |
| NPI Number | 1659645943 |
|---|---|
| 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 | () | Primary |
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