Individual
DR. HAZEL VANESSA DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4914
(252) 535-8011
(252) 794-2911
Mailing address
210 B SMITH CHURCH ROAD, ROANOKE RAPIDS, NC 27870-4942
(252) 535-8869
(252) 535-8868
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
200400492
NC
207Q00000X
Family Medicine Physician
200400492
NC
208M00000X
Hospitalist Physician
Primary
200400492
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136YA
BCBS
NC
05
—
89136YA
—
NC
Enumeration date
02/08/2007
Last updated
05/19/2023
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