Roanoke Valley Healthcare Partners, Llc | |
602 Brandon Ave Sw Suite 222 Roanoke VA 24015-3212 | |
(540) 774-0000 | |
(540) 774-0085 |
Full Name | Roanoke Valley Healthcare Partners, Llc |
---|---|
Speciality | Clinic/Center |
Location | 602 Brandon Ave Sw, Roanoke, Virginia |
Authorized Official Name and Position | Cindy G Gilliam (MANAGER) |
Authorized Official Contact | 3362229299 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Roanoke Valley Healthcare Partners, Llc Po Box 2022 Burlington NC 27216-2022 Ph: (336) 222-9299 | Roanoke Valley Healthcare Partners, Llc 602 Brandon Ave Sw Suite 222 Roanoke VA 24015-3212 Ph: (540) 774-0000 |
NPI Number | 1619274446 |
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Provider Enumeration Date | 02/14/2011 |
Last Update Date | 03/11/2025 |
Medicare PECOS PAC ID | 0143490326 |
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Medicare Enrollment ID | O20110825000335 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619274446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Charles Edwin Shaffer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376572248 PECOS PAC ID: 6507778693 Enrollment ID: I20031105000768 |
Provider Name | William G Pearlman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144292053 PECOS PAC ID: 0749174506 Enrollment ID: I20040211001232 |
Provider Name | Steven Osborn |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326027640 PECOS PAC ID: 5092606038 Enrollment ID: I20040419000433 |
Provider Name | Jan A Pijanowski |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336172659 PECOS PAC ID: 5991793630 Enrollment ID: I20040503000998 |
Provider Name | John Carmack |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1023034972 PECOS PAC ID: 4789663964 Enrollment ID: I20040720000703 |
Provider Name | Russell A Johnson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447205554 PECOS PAC ID: 8820032089 Enrollment ID: I20050617000668 |
Provider Name | Cynthia J Booten |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003989351 PECOS PAC ID: 7416973045 Enrollment ID: I20051021000713 |
Provider Name | Kimberley Washbourne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184656324 PECOS PAC ID: 8921016031 Enrollment ID: I20060331000315 |
Provider Name | Edward S Thur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881786416 PECOS PAC ID: 0446345920 Enrollment ID: I20070927001061 |
Provider Name | Alan L Thurman |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1013917186 PECOS PAC ID: 3678653839 Enrollment ID: I20071231000401 |
Provider Name | Valerie Jaskowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588853824 PECOS PAC ID: 4880774611 Enrollment ID: I20080107000593 |
Provider Name | Clarence George Clarke |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1356511992 PECOS PAC ID: 1456422104 Enrollment ID: I20080624000299 |
Provider Name | Serge E Depret-guillaume |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063488534 PECOS PAC ID: 9931272853 Enrollment ID: I20080724000677 |
Provider Name | Angela Rajesh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760635502 PECOS PAC ID: 4880756162 Enrollment ID: I20081219000544 |
Provider Name | Basavalinga S Talur Matadha |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639378839 PECOS PAC ID: 9739230491 Enrollment ID: I20090619000528 |
Provider Name | Shahid Aman Waraich |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225296502 PECOS PAC ID: 4880758499 Enrollment ID: I20090812000576 |
Provider Name | Brian A Dickens |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770794885 PECOS PAC ID: 8729135769 Enrollment ID: I20090819000787 |
Provider Name | Michael T Moran |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942397963 PECOS PAC ID: 4587718804 Enrollment ID: I20090820000218 |
Provider Name | David A Duncan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427041656 PECOS PAC ID: 5991837262 Enrollment ID: I20100722000143 |
Provider Name | Nicole C Pelham |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821104969 PECOS PAC ID: 6608881230 Enrollment ID: I20110310001025 |
Provider Name | Constantine N Chienku |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1831139336 PECOS PAC ID: 4385829902 Enrollment ID: I20110426000300 |
Provider Name | Ruth E Peevey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740576586 PECOS PAC ID: 0042489320 Enrollment ID: I20110802000506 |
Provider Name | Sarah H Lewis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831358654 PECOS PAC ID: 4688846157 Enrollment ID: I20111005000046 |
Provider Name | Merissa L Costello |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780845362 PECOS PAC ID: 8325207764 Enrollment ID: I20120305000565 |
Provider Name | Willie Hamilton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164433587 PECOS PAC ID: 9436254745 Enrollment ID: I20120619000122 |
Provider Name | Whitney H Pugh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235467572 PECOS PAC ID: 5890820948 Enrollment ID: I20130618000471 |
Provider Name | Michael Rowland |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992791081 PECOS PAC ID: 0345133393 Enrollment ID: I20140128001784 |
Provider Name | Gail L Arrington |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538598305 PECOS PAC ID: 7012146145 Enrollment ID: I20140212000638 |
Provider Name | Julie Marcia Megaro |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1164571923 PECOS PAC ID: 9931100450 Enrollment ID: I20140501000633 |
Provider Name | Rikki A Mcconnell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750784880 PECOS PAC ID: 5890009591 Enrollment ID: I20150807013946 |
Provider Name | Anja K Campbell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881070811 PECOS PAC ID: 1052620317 Enrollment ID: I20151027003375 |
Provider Name | Heather Bailey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013376011 PECOS PAC ID: 7911296827 Enrollment ID: I20160517000709 |
Provider Name | Nicole Cole |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538604210 PECOS PAC ID: 5698050581 Enrollment ID: I20170315001649 |
Provider Name | Alexia M Wallace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821455320 PECOS PAC ID: 4587960141 Enrollment ID: I20170524002522 |
Provider Name | Marie F Homere |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285151357 PECOS PAC ID: 5799041802 Enrollment ID: I20171128002507 |
Provider Name | Delvenia Twon Kilyofas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770087751 PECOS PAC ID: 1355690694 Enrollment ID: I20180821001090 |
Provider Name | Arica Gogol |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548756505 PECOS PAC ID: 3274883053 Enrollment ID: I20180829003166 |
Provider Name | Cynthia Robbs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457874786 PECOS PAC ID: 0749554798 Enrollment ID: I20180910000433 |
Provider Name | Amy L Ridgway |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427526805 PECOS PAC ID: 6608112891 Enrollment ID: I20190211000990 |
Provider Name | Maureen S Milauskas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760957278 PECOS PAC ID: 8224374467 Enrollment ID: I20190211001314 |
Provider Name | Cherelle C Mckinney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639686645 PECOS PAC ID: 8527329986 Enrollment ID: I20190318002277 |
Provider Name | Angela A Fasanella |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043768682 PECOS PAC ID: 9234427709 Enrollment ID: I20190401000093 |
Provider Name | Erika C Cook |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457860157 PECOS PAC ID: 8123387255 Enrollment ID: I20190419000731 |
Provider Name | Whitney Dijon Archie-patrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114497013 PECOS PAC ID: 9436482643 Enrollment ID: I20190603002079 |
Provider Name | Chisola Njapau Sherman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396269775 PECOS PAC ID: 2860751310 Enrollment ID: I20190612000006 |
Provider Name | Tishambay Denise Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598093072 PECOS PAC ID: 8820322977 Enrollment ID: I20190625000578 |
Provider Name | Symone Monique Hopkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881255602 PECOS PAC ID: 6103157896 Enrollment ID: I20191010001434 |
Provider Name | Hanna Tokon-yilma |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508217498 PECOS PAC ID: 3274811765 Enrollment ID: I20200224000480 |
Provider Name | Umer Hayyat |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851812499 PECOS PAC ID: 3375879224 Enrollment ID: I20200402002188 |
Provider Name | Rehana Sultana Kazi Glod |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013273820 PECOS PAC ID: 1951566850 Enrollment ID: I20200408004563 |
Provider Name | Kofi A Frimpong |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437690583 PECOS PAC ID: 9133498470 Enrollment ID: I20200813001539 |
Provider Name | Jessica Eve Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912512799 PECOS PAC ID: 6709204902 Enrollment ID: I20200921002262 |
Provider Name | Zeina Al Saadi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790394492 PECOS PAC ID: 2163842303 Enrollment ID: I20201111001418 |
Provider Name | Katina Knight |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023628534 PECOS PAC ID: 2668884040 Enrollment ID: I20201208002179 |
Provider Name | Rachal Crum |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1407385511 PECOS PAC ID: 5193145514 Enrollment ID: I20201221000413 |
Provider Name | Pawanpreet Kaur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861017972 PECOS PAC ID: 1557775418 Enrollment ID: I20210209002055 |
Provider Name | Ashlei J Parker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801494695 PECOS PAC ID: 9638584758 Enrollment ID: I20210329000466 |
Provider Name | Traci Rich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710592761 PECOS PAC ID: 9436558459 Enrollment ID: I20210607000793 |
Provider Name | Swathi Reddy Ala |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881200640 PECOS PAC ID: 8527465293 Enrollment ID: I20210922002241 |
Provider Name | Leiling Chen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174298400 PECOS PAC ID: 1951709674 Enrollment ID: I20211011003100 |
Provider Name | Julia Montgomery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609547660 PECOS PAC ID: 3274922612 Enrollment ID: I20211105000908 |
Provider Name | Marquail Mcbride |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659943843 PECOS PAC ID: 3375933773 Enrollment ID: I20211129000724 |
Provider Name | Ana Akhtar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447833363 PECOS PAC ID: 2163828278 Enrollment ID: I20220217000222 |
Provider Name | Diana Frahmand |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104580679 PECOS PAC ID: 3375935331 Enrollment ID: I20220222001744 |
Provider Name | Alice I Solademi Dunkle |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083144208 PECOS PAC ID: 5890044333 Enrollment ID: I20220419000483 |
Provider Name | Jakeline Merino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366085169 PECOS PAC ID: 6800222779 Enrollment ID: I20220628001223 |
Provider Name | Autumn Henson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265789853 PECOS PAC ID: 1951559640 Enrollment ID: I20220914000898 |
Provider Name | Alphonse Akuo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497252845 PECOS PAC ID: 0345583605 Enrollment ID: I20221221003132 |
Provider Name | Olguerline Lamousnery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356756068 PECOS PAC ID: 9739559048 Enrollment ID: I20230103001047 |
Provider Name | Jamie Russ |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720619794 PECOS PAC ID: 8628495942 Enrollment ID: I20230131001960 |
Provider Name | Manisha Yadav |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720736101 PECOS PAC ID: 7315306156 Enrollment ID: I20230711002827 |
Provider Name | Cheryl Ann Stoddard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659058139 PECOS PAC ID: 9931569035 Enrollment ID: I20230720004284 |
Provider Name | Afua Acheampong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942996665 PECOS PAC ID: 8325401771 Enrollment ID: I20230831004092 |
Provider Name | Megan Diggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265007769 PECOS PAC ID: 9830556018 Enrollment ID: I20231107001229 |
Provider Name | Natalia Nagle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649981291 PECOS PAC ID: 0749638997 Enrollment ID: I20231128002718 |
Provider Name | Elizabeth Mary Shenk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265954259 PECOS PAC ID: 6800296880 Enrollment ID: I20231208002983 |
Provider Name | Sherry Franklin Eubank |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669136248 PECOS PAC ID: 1759774466 Enrollment ID: I20231221003151 |
Provider Name | Shirley Frias O'neal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790467173 PECOS PAC ID: 4981054152 Enrollment ID: I20231229002369 |
Provider Name | Emnet A Habtewold |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326677675 PECOS PAC ID: 5092109876 Enrollment ID: I20240131002463 |
Provider Name | Andrea Colette Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245364157 PECOS PAC ID: 7719914449 Enrollment ID: I20240220004253 |
Provider Name | Dea Jeniece Woolard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790568749 PECOS PAC ID: 8325495120 Enrollment ID: I20240221000023 |
Provider Name | Daniel Destefano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497488423 PECOS PAC ID: 6204203979 Enrollment ID: I20240223003163 |
Provider Name | Delroy Anglin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558439802 PECOS PAC ID: 2668510355 Enrollment ID: I20240502003236 |
Provider Name | Drexzell Glasker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063905347 PECOS PAC ID: 5799036141 Enrollment ID: I20240509003088 |
Provider Name | Tyris D Ford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871169664 PECOS PAC ID: 3274929690 Enrollment ID: I20240522001924 |
Provider Name | Julia Blackwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881357028 PECOS PAC ID: 8921496365 Enrollment ID: I20240807001807 |
Provider Name | Alexis Greimel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407610637 PECOS PAC ID: 8325589864 Enrollment ID: I20240924001907 |
Provider Name | Supatha Kimble Peters |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861984445 PECOS PAC ID: 9032641931 Enrollment ID: I20241016004194 |
Provider Name | Amy Bunavage |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396520607 PECOS PAC ID: 6103279807 Enrollment ID: I20241030004606 |
Provider Name | Thadbring Dowling |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942978663 PECOS PAC ID: 5092113688 Enrollment ID: I20250116000280 |
Provider Name | Adanna Ibezim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124305958 PECOS PAC ID: 6800207259 Enrollment ID: I20250212002971 |
Valley Gericare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2917 Penn Forest Blvd, Ste 518, Roanoke, VA 24018 Phone: 540-989-3613 | |
The Center For Ultra Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4235 Colonial Ave, First Floor, Roanoke, VA 24018 Phone: 540-312-5595 | |
Jefferson Internal Medicine Associates, Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 S Jefferson St, Suite B, Roanoke, VA 24016 Phone: 540-342-1007 Fax: 540-345-4643 | |
Roanoke Partners In Health, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3239 Electric Rd, Suite A, Roanoke, VA 24018 Phone: 540-904-7912 Fax: 540-904-7926 | |
Carilion Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 S Jefferson St, Suite 625, Roanoke, VA 24011 Phone: 540-224-5681 | |
Hiren B Parikh, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3338 Circle Brook Dr, Roanoke, VA 24018 Phone: 609-781-8818 | |
Premier Telehealth Solutions Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6701 Peters Creek Rd Ste 110, Roanoke, VA 24019 Phone: 800-765-7130 Fax: 888-500-1891 |