Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 29214 | NC |
NPI | 1114907581 |
---|---|
Provider Name | Dr. Rolland J Barrett |
First Address | Charlotte, NC 28275-5216 |
Second Address | Winston Salem, NC 27103-3013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2006 |
Last Update Date | 25/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006005578 | (05) | VA |
13544 | BLUE CROSS AND BLUE SHIEL (01) | NC |
3099354 | AETNA HMO (01) | |
4097887 | AETNA PPO (01) | |
52467 | MEDCOST (01) | NC |
550 | PARTNERS NATIONAL HEALTH (01) | NC |
7401564 | UNITED HEALTHCARE (01) | |
8913544 | (05) | NC |
C52715 | (02) | |
P00031304 | RAILROAD MEDICARE (01) |