| Gods Promises Of Rocky Mount, Inc | |
|
154 Sw Main St Rocky Mount NC 27804-5715 | |
| (252) 937-3022 | |
| (252) 937-3021 |
| Full Name | Gods Promises Of Rocky Mount, Inc |
|---|---|
| Speciality | Preventive Medicine |
| Location | 154 Sw Main St, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Monique Brown (CMO) |
| Authorized Official Contact | 2524500753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gods Promises Of Rocky Mount, Inc 154 Sw Main St Rocky Mount NC 27804-5715 Ph: (252) 937-3022 | Gods Promises Of Rocky Mount, Inc 154 Sw Main St Rocky Mount NC 27804-5715 Ph: (252) 937-3022 |
| NPI Number | 1558114090 |
|---|---|
| Provider Enumeration Date | 04/05/2024 |
| Last Update Date | 07/04/2024 |
| Medicare PECOS PAC ID | 2264977990 |
|---|---|
| Medicare Enrollment ID | O20240717002242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558114090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | (* (Not Available)) | Primary |
| Provider Name | Monique Y Brown |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336289636 PECOS PAC ID: 9537254594 Enrollment ID: I20071005000082 |
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