Individual
JOHN S DERBYSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1051 COUNTRY CLUB RD, ROCKY MOUNT, NC 27804-1710
(252) 937-4084
(252) 937-7538
Mailing address
1051 COUNTRY CLUB RD, ROCKY MOUNT, NC 27804-1710
(252) 937-4084
(252) 937-7538
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20782
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196944
CIGNA HEALTHCARE
NC
01
—
22965
MEDCOST
NC
01
—
28356
BCBSNC
NC
05
—
8928356
—
NC
Enumeration date
09/08/2005
Last updated
08/22/2007
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