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Organization

RICHMOND OB GYN PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA L MIDDLETON MD FACS (PRESIDENT)
(910) 417-3477
Entity
Organization

Contact information

Practice address
921 S LONG DR, STE 207, ROCKINGHAM, NC 28379-4874
(910) 417-3477
(910) 417-3489
Mailing address
PO BOX 304, ROCKINGHAM, NC 28380-0304
(910) 417-3477
(910) 417-3489

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29343
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
58798
BCBS
NC
05
8958798
NC
Enumeration date
10/03/2005
Last updated
08/22/2020
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