Roddenberry, Myron

Roddenberry, Myron is an individual health care provider with primary practice located at 301 E Wendover Ave Ste 411 , Greensboro NC 27401-1211. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Roddenberry, Myron can be contacted via phone (336) 832-3200.

Contact Information

Primary practice address
301 E Wendover Ave Ste 411 Greensboro NC 27401-1211
Phone: (336) 832-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 101195 North Carolina

Profile Details

NPI number 1346245040
LBN Legal business name Roddenberry, Myron
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Aug 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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