Raven Lionel Deloatch in Roanoke Rapids - Internal Medicine

Raven Lionel Deloatch - NPI 1740268598

Raven Lionel Deloatch is a Internal Medicine in Roanoke Rapids, North Carolina. Raven Lionel Deloatch practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Raven Lionel Deloatch is 1740268598. The last update date is 2023-03-07.

Raven Lionel Deloatch's current location address is Po Box 640, Roanoke Rapids, North Carolina. You can contact this provider via phone number 2525365791 and fax number 2525365444. The mailing address for Raven Lionel Deloatch is Po Box 640, Roanoke Rapids, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Raven Lionel Deloatch
Address Po Box 640, Roanoke Rapids, North Carolina
Phone Number 2525365791
Fax Number 2525365444
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1740268598
Provider Enumeration Date 2006-01-03
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address Po Box 640
City Roanoke Rapids
State North Carolina (NC)
Post Code 278700640
Phone Number 2525365791
Fax Number 2525365444

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 31478
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
28324 NC BLUE CROSS BLUE SHIELD #
110147756 NC RAILROAD MEDICARE #
454365 NC UNITED HEALTH CARE #
D2792 NC MEDCOST LLC PROVIDER #
31478 NC NC MEDICAL LICENSE #
7928324 NC --
112536 NC ANTHEM SERVICES PROVIDER#
289354 NC MAMSI PROVIDER #

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FAQs about Raven Lionel Deloatch

What is the Raven Lionel Deloatch's unique identification number?

The Raven Lionel Deloatch has been assigned the NPI (National Provider Identifier) Number 1740268598 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Raven Lionel Deloatch is geographically located?

The Raven Lionel Deloatch is physically situated at the following location: Po Box 640, Roanoke Rapids, NC, 278700640.

What is Raven Lionel Deloatch's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Raven Lionel Deloatch is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.

When was the Raven Lionel Deloatch's 1740268598 issued?

The Raven Lionel Deloatch's 1740268598 was issued on 2006-01-03.

As of what date were the Raven Lionel Deloatch's details last updated?

The information pertaining to the Raven Lionel Deloatch, including its address, specialty, and other details, was most recently updated on 2023-03-07.

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