Jrg of Virginia LLC

NPI #1467117267 in Roanoke, Virginia

Provider Information

NPI Number: 1467117267
Entity Type: Organization
Organization Name: Jrg of Virginia LLC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 5, 2021
Last Updated: Nov 9, 2021

Practice Location

Address: 1315 2ND ST SW STE 103
City: Roanoke
State: Virginia
ZIP Code: 24016-4935
Phone: (540) 900-5633

Authorized Official

Name: NICHOLAS F CAMPAGNOLI
Title: OWNER
Phone: (540) 900-5633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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