# MR. ROCK ALLEN MUNSEE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588614176
- **Gender:** Man
- **Credential:** PHYSICIAN ASSISTANT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 0010-01599 | NC | — |
| 363A00000X | Physician Assistant | 1386 | SC | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 10/27/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0953PA | — | SC |
| 01 | — | 164XC | BCBSNC | NC |
| 01 | — | 1951786 | COVENTRY | NC |
| 01 | — | 20083727 | SELECT HEALTH OF SC | SC |
| 05 | — | 8102538 | — | NC |
| 01 | — | P01044561 | RAILROAD MEDICARE PTAN | NC |
| 01 | — | P01084938 | MEDICARE RAILROAD | SC |
