Organization
UNC ROCKINGHAM HEALTH CARE, INC.
Active
Other names
Reidsville High School Student Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN ANN SHADOWENS (CFO, VP)
(336) 627-8512
Entity
Organization
Contact information
Practice address
1901 S PARK DR, REIDSVILLE, NC 27320-6809
(336) 349-6443
(336) 349-6443
Mailing address
117 E KINGS HWY, EDEN, NC 27288-5201
(336) 623-9711
(336) 623-2434
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
61720
NC
163W00000X
Registered Nurse
70791
NC
207V00000X
Obstetrics & Gynecology Physician
00-35434
NC
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
200400651
NC
363LF0000X
Family Nurse Practitioner
200698
NC
363LP0200X
Pediatric Nurse Practitioner
300219
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000806
—
NC
Enumeration date
02/23/2007
Last updated
07/17/2023
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