Organization
JAMES R DEVILLIER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DEVILLIER MD (OWNER)
(336) 659-9440
Entity
Organization
Contact information
Practice address
615 RIDGE RD, ROXBORO, NC 27573-4629
(336) 659-9440
(336) 659-9845
Mailing address
296 DENADA PATH, ROXBORO, NC 27574-6306
(336) 659-9440
(336) 659-9440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9500554
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140WF
BCBS NC
NC
05
—
5900890
—
NC
Enumeration date
03/11/2008
Last updated
10/07/2009
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