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Organization

ROXBORO INTERNAL MEDICINE & PEDIATRICS, P.A.

Active
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Organization

ROXBORO INTERNAL MEDICINE & PEDIATRICS, P.A.

Active
Other names
Roxboro MedPeds
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JENNIFER CLAYTON BOLTON (INSURANCE MANAGER)
(336) 598-0002
Entity
Organization

Contact information

Practice address
796 DOCTORS CT, ROXBORO, NC 27573-4571
(336) 598-0002
(336) 599-2159
Mailing address
796 DOCTORS CT, ROXBORO, NC 27573-4571
(336) 598-0002
(336) 599-2159

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34464
NC
208000000X
Pediatrics Physician
34464
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8901102
NC
Enumeration date
05/02/2006
Last updated
11/30/2009
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