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Individual

NANCY MOULTRIE ROCKSTROH

Active
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Individual

NANCY MOULTRIE ROCKSTROH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
33926
TN
207Q00000X
Family Medicine Physician
Primary
ME99966
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080166149
RAILROAD MEDICARE
TN
01
—
117415
BETTER HEALTH
TN
01
—
122921
MISSISSIPPI MEDT
TN
01
—
14449
TLC
TN
01
—
3164959
BC BS OF TN
TN
05
—
3847149
—
TN
Enumeration date
08/18/2005
Last updated
10/30/2008
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