Provider Demographics
NPI:1326232570
Name:ROQUES-DAVIS, REBECCA CLAIRE (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:CLAIRE
Last Name:ROQUES-DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:CLAIRE
Other - Last Name:ROQUES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1869
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1869
Mailing Address - Country:US
Mailing Address - Phone:828-687-5698
Mailing Address - Fax:828-650-8076
Practice Address - Street 1:600 HOSPITAL DRIVE SUITE 10B
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:NC
Practice Address - Zip Code:28721-8202
Practice Address - Country:US
Practice Address - Phone:828-456-5214
Practice Address - Fax:825-456-7834
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.201875207R00000X
LA201875207R00000X
NC2019-01032207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine