Individual
DR. ROSOLENA VISCO CONROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
280 CONCORD PKWY S STE 100, CONCORD, NC 28027-2705
(980) 209-6328
Mailing address
170 DAVIDSON HWY, CONCORD, NC 28027-4245
(980) 209-6328
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
A16413
NC
208000000X
Pediatrics Physician
Primary
9700041
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019E
BCBS
NC
01
—
5950393
CIGNA HEALTHCARE
NC
05
—
891019E
—
NC
Enumeration date
02/28/2007
Last updated
05/18/2023
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