Organization
ROCKINHGAM MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNY E. CAMARGO M.D. (PHYSICIAN/OWNER)
(704) 910-2320
Entity
Organization
Contact information
Practice address
3535 RANDOLPH RD, SUITE 210, CHARLOTTE, NC 28211-1086
(704) 906-1676
(704) 910-1420
Mailing address
101 E MATTHEWS ST STE 400, MATTHEWS, NC 28105-5373
(980) 339-7442
(980) 339-5925
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34284
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163710
INDIVIDUAL MEDICARE
—
05
—
5918242
—
NC
01
—
A305
GROUP MEDICARE
NC
01
—
P0100359
RR MEDICARE PTAN
—
Enumeration date
12/18/2012
Last updated
11/07/2022
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