Organization
ROCKINGHAM MEDICAL & KIDNEY CARE,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE THOMPSON (OFFICE MANAGER)
(336) 342-3338
Entity
Organization
Contact information
Practice address
1352 W HARRISON ST, REIDSVILLE, NC 27320-2606
(336) 342-3338
(336) 342-9762
Mailing address
1352 W HARRISON ST, REIDSVILLE, NC 27320-2606
(336) 342-3338
(336) 342-9762
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9500507
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11593
PARTNERS
NC
01
—
14370
BCBS
NC
01
—
3102113
UNITED HEALTHCARE
NC
01
—
5811953
VIRGINIA MEDICAID
VA
05
—
890278
—
NC
Enumeration date
01/15/2007
Last updated
10/07/2010
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