Organization
ROCKINGHAM UROLOGY ASSOC
Active
Organization
ROCKINGHAM UROLOGY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA S WARREN (OFFICE MANAGER)
(336) 342-4791
Entity
Organization
Contact information
Practice address
1818 RICHARDSON DR STE F, REIDSVILLE, NC 27320-5450
(336) 342-4791
(336) 634-0790
Mailing address
1818 RICHARDSON DR STE F, REIDSVILLE, NC 27320-5450
(336) 342-4791
(336) 634-0790
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
72530
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0121C
BLUE CROSS BLUE SHIELD
NC
01
—
2381
PARTNERS MEDICARE
NC
05
—
890121C
—
NC
Enumeration date
12/09/2005
Last updated
11/09/2011
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