| Dr Raul Stephen De La Vega Iii, MD | |
|
222 N Lafayette St, Suite 01, Shelby, NC 28150-4444 | |
| (704) 482-3880 | |
| (704) 487-0294 |
| Full Name | Dr Raul Stephen De La Vega Iii |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 222 N Lafayette St, Shelby, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518946805 | NPI | - | NPPES |
| 8928077 | Medicaid | NC | |
| 24584 | Other | NC | NC MEDICAL LICENSE |
| N24584 | Medicaid | SC | |
| 28077 | Other | NC | NC BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 24584 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raul Stephen De La Vega Iii, MD 222 N Lafayette St, Suite 01, Shelby, NC 28150-4444 Ph: (704) 482-3880 | Dr Raul Stephen De La Vega Iii, MD 222 N Lafayette St, Suite 01, Shelby, NC 28150-4444 Ph: (704) 482-3880 |
Dr. Charles Otis Tubbs, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N Lafayette St, Suite 01, Shelby, NC 28150 Phone: 704-482-3880 Fax: 704-487-0294 | |
Dr. Helen R. Maddux, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 201 E Grover St, Shelby, NC 28150 Phone: 980-487-3144 Fax: 980-487-3615 | |
Dr. Michael Douglas Wehmueller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N Lafayette St, Suite 01, Shelby, NC 28150 Phone: 704-482-3880 Fax: 704-487-0294 |