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NPI Code Detail

MEDICARE: TERESA ROMZICK MD

MEDICARE: TERESA ROMZICK MD
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
1207Q00000XFamily Medicine Physician59247NC
2208D00000XGeneral Practice Physician9400625NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00655019OTHERNCRR MEDICARE NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1187631OTHERSCMEDCOST
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376645549
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA ROMZICK MD
Provider Business Mailing Address
First Line : 2341 SIMONTON RD
Second Line :
City : STATESVILLE
State : NC
Zip : 28625-8246
Country : US
Telephone Number : 704-761-2400
Fax Number : 704-761-2399
Provider Business Practice Location Address
First Line : 2341 SIMONTON RD
Second Line :
City : STATESVILLE
State : NC
Zip : 28625-8246
Country : US
Telephone Number : 704-761-2400
Fax Number : 704-761-2399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 06/05/2014

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