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Contact Information

RONNIE H ISSA, CAA
2080 W ARLINGTON BLVD STE B
GREENVILLE, NC27834-3770
 Phone: 252-752-2140
 Fax: 252-689-6502
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiologist Assistant

367H00000X 32 Anesthesiology Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for RONNIE H ISSA · (Male)

NPI Number 1598381527
Status Active
Credentials CAA
Entity Individual
Enumeration date 06/25/2020
Last updated 09/25/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 1000-00937
Hospital affiliation(s)
  • VIDANT MEDICAL CENTER - (Acute Care)
    2100 STANTONSBURG RD
    GREENVILLE, NC 27834
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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