| Dr. Mark O'daniel & Associates, P.a. | |
|
3031 Zebulon Rd Rocky Mount NC 27804-2422 | |
| (252) 937-8222 | |
| (252) 937-6622 |
| Full Name | Dr. Mark O'daniel & Associates, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3031 Zebulon Rd, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Mark Barnard O'daniel (OWNER) |
| Authorized Official Contact | 2529378222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mark O'daniel & Associates, P.a. 3031 Zebulon Rd Rocky Mount NC 27804-2422 Ph: (252) 937-8222 | Dr. Mark O'daniel & Associates, P.a. 3031 Zebulon Rd Rocky Mount NC 27804-2422 Ph: (252) 937-8222 |
| NPI Number | 1427256494 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 02/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427256494 | NPI | - | NPPES |
| 5903546 | Medicaid | NC | |
| 6006055 | Medicaid | NC | |
| 135V6 | Other | NC | BLUE CROSS BLUE SHIELD |
| 5903560 | Medicaid | NC | |
| 89135V6 | Medicaid | NC | |
| 018TJ | Other | NC | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 9700116 (North Carolina) | Primary |
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