Healthcare Provider Details

I. General information

NPI: 1740282698
Provider Name (Legal Business Name): JAMES M. RHYNE, MD,PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 BRYANT ST
STATESVILLE NC
28677-4142
US

IV. Provider business mailing address

757 BRYANT ST
STATESVILLE NC
28677-4142
US

V. Phone/Fax

Practice location:
  • Phone: 704-873-5658
  • Fax: 704-873-5659
Mailing address:
  • Phone: 704-873-5658
  • Fax: 704-873-5659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number16001
License Number StateNC

VIII. Authorized Official

Name: DR. JAMES M RHYNE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 704-873-5658