MEDICARE: DARRYL B. RHYNE, MD, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	96-00697	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	64814	OTHER	NC	MEDCOST
2	71445	OTHER	NC	BCBS OF NORTH CAROLINA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	14327	OTHER	NC	PARTNERS

General Provider Information

NPI Number	:	1033149760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DARRYL B. RHYNE, MD, PLLC

Provider Business Mailing Address
First Line	:	660 PARKWOOD MEDICAL PARK
Second Line	:
City	:	ELKIN
State	:	NC
Zip	:	28621-2487
Country	:	US
Telephone Number	:	336-526-4300
Fax Number	:	336-526-5350

Provider Business Practice Location Address
First Line	:	660 PARKWOOD MEDICAL PARK
Second Line	:
City	:	ELKIN
State	:	NC
Zip	:	28621-2487
Country	:	US
Telephone Number	:	336-526-4300
Fax Number	:	336-526-5350

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. DARRYL B RHYNE
Credential	:	M.D.
Telephone Number	:	336-526-4300

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	08/22/2020

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