Radford, Tammy M
Radford, Tammy M is an individual health care provider with primary practice located at 1906 Belleview Ave Se Emergency Dept., Roanoke VA 24014-1838. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Radford, Tammy M can be contacted via phone (540) 981-7000.Contact Information
Primary practice address
1906 Belleview Ave Se Emergency Dept.
Roanoke VA 24014-1838
Phone: (540) 981-7000
Fax: (540) 981-9550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110002144 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110002144 | Virginia |
Profile Details
| NPI number | 1609970847 |
|---|---|
| LBN Legal business name | Radford, Tammy M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2006 |
| Last updated | Jul 18th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609970847 | NPPES |
| Virginia | MEDICAID | 010206600 | |
| Virginia | MEDICAID | 010206596 | |
| Virginia | MEDICAID | 010206561 |
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