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Organization

ALL ABOUT WOMEN, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUSAN LOVEJOY ROQUE MD (OWNER)
(704) 658-1413
Entity
Organization

Contact information

Practice address
170 MEDICAL PARK RD, SUITE 301, MOORESVILLE, NC 28117-8540
(704) 658-1413
(704) 658-1431
Mailing address
170 MEDICAL PARK RD, SUITE 301, MOORESVILLE, NC 28117-8540
(704) 658-1413
(704) 658-1431

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
95-00440
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8973089
NC
Enumeration date
07/10/2006
Last updated
01/08/2010
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