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Individual

DR. RACHID IDRISSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 MEDICAL DR, BENSON, NC 27504-1177
(919) 894-1740
(919) 894-2701
Mailing address
1 MEDICAL DR, BENSON, NC 27504-1177
(919) 894-1740
(919) 894-2701

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
058038
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
200700587
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5909173
NC
Enumeration date
11/16/2006
Last updated
03/04/2014
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