MEDICARE: HERBERT ROWLAND PEARSALL 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
1	2084P0800X	Psychiatry Physician	020513	CT
2	2084P0800X	Psychiatry Physician	158280	NC

General Provider Information

NPI Number	:	1649337502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HERBERT ROWLAND PEARSALL MD

Provider Business Mailing Address
First Line	:	3534 GOVERNORS ISLAND DR
Second Line	:
City	:	DENVER
State	:	NC
Zip	:	28037-8442
Country	:	US
Telephone Number	:	704-748-3126
Fax Number	:

Provider Business Practice Location Address
First Line	:	3534 GOVERNORS ISLAND DR
Second Line	:
City	:	DENVER
State	:	NC
Zip	:	28037-8442
Country	:	US
Telephone Number	:	704-748-3126
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	05/12/2026

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