Most Relevant Information
Provider Data
| NPI Number: | 1003026550 |
| Provider Name: | LARRY NMI ROEDIGER PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 101589 |
Most Important Dates
| Enumeration Date: | 05/23/2007 |
| Last Updated: | 07/16/2017 |
Provider Practice Location
301 YADKIN ST
ALBEMARLE
NC
280013441
Practice Location Phone/Fax
| Phone: | 7049844382 |
| Fax: | 7049844631 |
Provider Mailing Location
2609 N DUKE ST
STE 303B
DURHAM
NC
277043019
Provider Mailing Phone/Fax
| Phone: | 3369983707 |
| Fax: |