Rocky Mount Internal Medicine,Pa

LBN: Rocky Mount Internal Medicine,Pa
Rocky Mount Internal Medicine,Pa is an health care organization with primary practice located at 117 Foy Dr , Rocky Mount NC 27804-2418. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Rocky Mount Internal Medicine,Pa can be contacted via phone (252) 443-7678, or through Sirisena, Omatta M via phone (252) 443-7678.

Contact Information

Primary practice address
117 Foy Dr Rocky Mount NC 27804-2418
Phone: (252) 443-7678
Fax: (252) 443-7147
Website:
Map and Directions
Authorized official contact:
Name: Sirisena, Omatta M Doctor of Medicine (MD)
Phone: (252) 443-7678

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1245276724
LBN Legal business name Rocky Mount Internal Medicine,Pa
DBA Doing business as
Authorized official Sirisena, Omatta M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Oct 30th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245276724 NPPES
North Carolina MEDICAID 890149C
North Carolina Other 0149C

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