Roman Peele Blount IV
Family Doctor
19475 Old Jetton Rd Ste 200
Cornelius
, North Carolina 28031-6591
Roman Peele Blount IV
Family Doctor
19475 Old Jetton Rd Ste 200
Cornelius
, North Carolina 28031-6591
(704) 384-1775
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Roman Peele Blount IV
- 19475 Old Jetton Rd Ste 200
- Cornelius, NC
- Zip : 28031-6591
- Phone : (704) 384-1775
Second Address
- Roman Peele Blount IV
- 19475 Old Jetton Rd Ste 200
- Cornelius, NC
- Zip : 28031-6591
- Phone : (704) 384-1775
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | BLOU-LA8994 | NC |
National Provider Identifier
| NPI | 1003496720 |
|---|---|
| Provider Name | Roman Peele Blount IV |
| First Address | Cornelius, NC 28031-6591 |
| Second Address | Cornelius, NC 28031-6591 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2021 |
| Last Update Date | 14/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.