Individual
DR. RODNEY RALSTON ABRAHAMS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
204 CAMPBELL LN, TAZEWELL, VA 24651
(276) 979-1121
(276) 979-1121
Mailing address
PO BOX 132, TAZEWELL, VA 24651-0132
(276) 979-1121
(276) 979-1121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004749
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007808411
—
VA
01
—
140394
BLUE CROSS BLUE SHIELD
VA
01
—
176747
UNITED CONCORDIA
VA
01
—
541050295
DELTA METLIFE
VA
Enumeration date
07/17/2006
Last updated
07/24/2018
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