| Roanoke Family Practice | |
|
902b Roanoke Ave Elizabeth City NC 27909-5565 | |
| (252) 384-0154 | |
| (252) 335-2731 |
| Full Name | Roanoke Family Practice |
|---|---|
| Speciality | Clinic/center |
| Location | 902b Roanoke Ave, Elizabeth City, North Carolina |
| Authorized Official Name and Position | Debra Lynn Bowman (OFFICE MANAGER) |
| Authorized Official Contact | 2523840154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roanoke Family Practice 902b Roanoke Ave Elizabeth City NC 27909-5565 Ph: (252) 384-0154 | Roanoke Family Practice 902b Roanoke Ave Elizabeth City NC 27909-5565 Ph: (252) 384-0154 |
| NPI Number | 1518119023 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 05/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518119023 | NPI | - | NPPES |
| DO2435 | Other | RAILROAD MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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