| Rocky Mount Family Medical Center Pa | |
|
804 English Rd Suite 100 Rocky Mount NC 27804-6032 | |
| (252) 443-3133 | |
| (252) 443-6726 |
| Full Name | Rocky Mount Family Medical Center Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 804 English Rd, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Donna P Brannan (HR ASST) |
| Authorized Official Contact | 2524433133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mount Family Medical Center Pa 804 English Rd Suite 100 Rocky Mount NC 27804-6032 Ph: (252) 443-3133 | Rocky Mount Family Medical Center Pa 804 English Rd Suite 100 Rocky Mount NC 27804-6032 Ph: (252) 443-3133 |
| NPI Number | 1508919283 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 01/13/2010 |
| Medicare PECOS PAC ID | 9739070392 |
|---|---|
| Medicare Enrollment ID | O20040323000690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508919283 | NPI | - | NPPES |
| 890246A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Richard G Michal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558413757 PECOS PAC ID: 9537050190 Enrollment ID: I20100201000645 |
| Provider Name | Lawanda Pulley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750743308 PECOS PAC ID: 3779872346 Enrollment ID: I20170106001647 |
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