Organization
ROANOKE CHOWAN WOMEN'S CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA WEAVER RICHARDSON MD (PRESIDENT)
(252) 332-6111
Entity
Organization
Contact information
Practice address
214 CHURCH ST E, AHOSKIE, NC 27910-3518
(252) 332-6111
Mailing address
214 CHURCH ST E, AHOSKIE, NC 27910-3518
(252) 332-6111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9300366
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891151U
—
NC
Enumeration date
04/02/2008
Last updated
04/02/2008
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