Organization
ROANOKE VALLEY SURGICAL ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH W MORGAN (INSURANCE REPRESENTATIVE)
(252) 537-1933
Entity
Organization
Contact information
Practice address
97 HIGHWAY 125, ROANOKE RAPIDS, NC 27870
(252) 537-1933
(252) 537-1936
Mailing address
97 HIGHWAY 125, ROANOKE RAPIDS, NC 27870
(252) 537-1933
(252) 537-1936
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23812
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020015092
RAILROAD MEDICARE
—
01
—
0222A
BCBS
NC
01
—
458663113
CHAMPUS
—
05
—
890222A
—
NC
Enumeration date
05/15/2006
Last updated
06/28/2010
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