Organization
TWIN CITY CARDIOLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNIE K ANTONY (OFFICE MANAGER)
(252) 537-9268
Entity
Organization
Contact information
Practice address
306 BECKER DR, ROANOKE RAPIDS, NC 27870-3207
(252) 537-9268
Mailing address
PO BOX 340, ROANOKE RAPIDS, NC 27870-0340
(252) 537-9268
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
NC
207RP1001X
Pulmonary Disease Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0142K
BCBS
NC
05
—
890142K
—
NC
01
—
CN9149
GROUP RAILROAD NUMBER
NC
Enumeration date
02/27/2006
Last updated
02/20/2008
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