Individual
MR. ROCK ALLEN MUNSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-01599
NC
363A00000X
Physician Assistant
Primary
1386
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0953PA
—
SC
01
—
164XC
BCBSNC
NC
01
—
1951786
COVENTRY
NC
01
—
20083727
SELECT HEALTH OF SC
SC
05
—
8102538
—
NC
01
—
P01044561
RAILROAD MEDICARE PTAN
NC
01
—
P01084938
MEDICARE RAILROAD
SC
Enumeration date
05/12/2006
Last updated
10/27/2015
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