Organization
R.S. MEDICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REVELLA B HARMON MD (MEDICAL DIRECTOR)
(919) 989-4051
Entity
Organization
Contact information
Practice address
411 N PLEASANT COATS RD, BENSON, NC 27504-7651
(919) 989-4051
(919) 989-4053
Mailing address
411 N PLEASANT COATS RD, BENSON, NC 27504-7651
(919) 989-4051
(919) 989-4053
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
200000065
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89127JU
—
NC
Enumeration date
11/09/2007
Last updated
11/12/2007
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