Healthcare Provider Details
I. General information
NPI: 1427966696
Provider Name (Legal Business Name): CAVE SPRING FAMILY MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5002 BRAMBLETON AVE STE B
ROANOKE VA
24018-4607
US
IV. Provider business mailing address
5002 BRAMBLETON AVE STE B
ROANOKE VA
24018-4607
US
V. Phone/Fax
- Phone: 540-613-8547
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DENISE
HAWLEY
Title or Position: OWNER
Credential: DO
Phone: 540-613-8547