Provider Demographics
NPI:1669648994
Name:MUNRO, REBECCA BACHMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:BACHMAN
Last Name:MUNRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4414 LAKE BOONE TRL
Mailing Address - Street 2:SUITE 405
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-7513
Mailing Address - Country:US
Mailing Address - Phone:919-876-8225
Mailing Address - Fax:919-876-3371
Practice Address - Street 1:4414 LAKE BOONE TRL
Practice Address - Street 2:SUITE 405
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-7513
Practice Address - Country:US
Practice Address - Phone:919-876-8225
Practice Address - Fax:919-876-3371
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC201000501207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC201000501OtherNC MEDICAL BOARD PHYSICIAN LICENSE