Healthcare Provider Details

I. General information

NPI: 1659339323
Provider Name (Legal Business Name): ROZIER & LANE GYNECOLOGY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 02/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 W 27TH ST
LUMBERTON NC
28358-3016
US

IV. Provider business mailing address

295 W 27TH ST
LUMBERTON NC
28358-3016
US

V. Phone/Fax

Practice location:
  • Phone: 910-739-5550
  • Fax: 910-739-3550
Mailing address:
  • Phone: 910-739-5550
  • Fax: 910-739-3550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN C ROZIER JR.
Title or Position: PRESIDENT
Credential: MD
Phone: 910-739-5550