Provider Demographics
NPI:1205347770
Name:W. HAMPTON PASLEY, M.D., PLC
Entity type:Organization
Organization Name:W. HAMPTON PASLEY, M.D., PLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HAMPTON
Authorized Official - Last Name:PASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-915-3525
Mailing Address - Street 1:2811 FAIRWAY FOREST DR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-7400
Mailing Address - Country:US
Mailing Address - Phone:540-915-3525
Mailing Address - Fax:
Practice Address - Street 1:3390 COLONIAL AVE
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-3740
Practice Address - Country:US
Practice Address - Phone:540-772-1006
Practice Address - Fax:540-772-1006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care