Organization
ROBERSONVILLE PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOSEPH GENNOSA MD (OWNER)
(252) 795-5555
Entity
Organization
Contact information
Practice address
504 N MAIN ST, ROBERSONVILLE, NC 27871-9567
(252) 795-5555
(252) 795-5566
Mailing address
504 N MAIN ST, ROBERSONVILLE, NC 27871-9567
(252) 795-5555
(252) 795-5566
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
9900506
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912294
—
NC
Enumeration date
10/19/2007
Last updated
02/02/2022
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