Organization
ATLANTIC NEUROSURGERY CONSULTANTS, PA
Active
Organization
ATLANTIC NEUROSURGERY CONSULTANTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND MICHAEL BAULE M.D. (OWNER/PHYSICIAN)
(252) 937-6007
Entity
Organization
Contact information
Practice address
4056 CAPITAL DR, ROCKY MOUNT, NC 27804-3123
(252) 937-6007
(252) 937-6005
Mailing address
PO BOX 8781, ROCKY MOUNT, NC 27804-6781
(252) 937-6007
(252) 937-6005
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
200400101
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136TJ
BCBS
NC
Enumeration date
04/18/2006
Last updated
05/02/2012
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