Organization
SMITH CHURCH OBSTETRICS & GYNECOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD W. MINIELLY M.D. (OWNER/M.D.)
(252) 535-4343
Entity
Organization
Contact information
Practice address
63 OFFICE PARK DR, ROANOKE RAPIDS, NC 27870-4940
(252) 535-4343
(252) 308-0977
Mailing address
63 OFFICE PARK DR, ROANOKE RAPIDS, NC 27870-4940
(252) 535-4343
(252) 308-0977
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/10/2007
Last updated
02/25/2008
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