Healthcare Provider Details

I. General information

NPI: 1629075270
Provider Name (Legal Business Name): ROBERT DENNIS MCARTOR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 CHILDRENS LN
NORFOLK VA
23507-1910
US

IV. Provider business mailing address

2312 BLYTHE RD
WILMINGTON NC
28403-8012
US

V. Phone/Fax

Practice location:
  • Phone: 757-668-7456
  • Fax: 757-668-9255
Mailing address:
  • Phone: 910-763-7131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number39648
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: