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NPI Code Detail

MEDICARE: DR. ROBERT RHEA EARNEST M.D.

MEDICARE: DR. ROBERT RHEA EARNEST M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician17098NC
22080A0000XPediatric Adolescent Medicine Physician17098NC
32080A0000XPediatric Adolescent Medicine Physician17585SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21201123OTHERNCUNITEDHEALTHCARE
3D8843OTHERNCMEDCOST
41095YOTHERNCBCBS

General Provider Information

NPI Number : 1245233303
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT RHEA EARNEST M.D.
Provider Business Mailing Address
First Line : 460 COUNTRY CLUB RD
Second Line :
City : LUMBERTON
State : NC
Zip : 28360-9494
Country : US
Telephone Number : 910-608-2100
Fax Number : 910-608-2102
Provider Business Practice Location Address
First Line : 460 COUNTRY CLUB RD
Second Line :
City : LUMBERTON
State : NC
Zip : 28360-9494
Country : US
Telephone Number : 910-608-2100
Fax Number : 910-608-2102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 06/27/2013

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