Organization
ROANOKE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEE VENABLE M.D. (PRESIDENT)
(252) 793-4500
Entity
Organization
Contact information
Practice address
1004 HWY 64 EAST, PLYMOUTH, NC 27962
(252) 793-4500
(252) 793-2079
Mailing address
PO BOX 1026, PLYMOUTH, NC 27962-1026
(252) 793-4500
(252) 793-2079
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22192
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0271F
BCBS
NC
05
—
89-0271F
—
NC
Enumeration date
06/21/2006
Last updated
08/22/2020
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