Provider Demographics
NPI:1659339323
Name:ROZIER & LANE GYNECOLOGY PA
Entity Type:Organization
Organization Name:ROZIER & LANE GYNECOLOGY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROZIER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:910-739-5550
Mailing Address - Street 1:295 W 27TH ST
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-3016
Mailing Address - Country:US
Mailing Address - Phone:910-739-5550
Mailing Address - Fax:910-739-3550
Practice Address - Street 1:295 W 27TH ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-3016
Practice Address - Country:US
Practice Address - Phone:910-739-5550
Practice Address - Fax:910-739-3550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2324429OtherMEDICARE
NC890288NMedicaid
NC0288NOtherNC BCBS GROUP