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TRUE RADIANCE MEDISPA NPI 1851733976


NPI Information

NPI: 1851733976
Provider Name: TRUE RADIANCE MEDISPA
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
800 TIFFANY BLVD STE 100B
ROCKY MOUNT, NC
ZIP 27804
Phone: (252) 969-0025
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TRUE RADIANCE MEDISPA is a general practice in Rocky Mount, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee TRUE RADIANCE MEDISPA NPI is 1851733976. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 TIFFANY BLVD STE 100B
ROCKY MOUNT, NC
ZIP 27804-807
Phone: (252) 969-0025

The provider's authorized official is Jennifer Llamado Yap .
The authorized official title is Provider and has the following contact phone number (252) 969-0025.

The enumeration date for this NPI number is 7/18/2013 and was last updated on 7/18/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice1891822391NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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