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NPI Code Detail

MEDICARE: DR. ROBERT CLAY PENNINGTON JR. MD

MEDICARE:  DR. ROBERT CLAY PENNINGTON JR. MD
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
1207R00000XInternal Medicine Physician32027NC

General Provider Information

NPI Number : 1144224080
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT CLAY PENNINGTON JR. MD
Provider Business Mailing Address
First Line : 4309 MEDICAL PARK DR
Second Line : STE 200
City : DURHAM
State : NC
Zip : 27704-2388
Country : US
Telephone Number : 919-471-4484
Fax Number : 919-477-6131
Provider Business Practice Location Address
First Line : 4309 MEDICAL PARK DR
Second Line : STE 200
City : DURHAM
State : NC
Zip : 27704-2388
Country : US
Telephone Number : 919-471-4484
Fax Number : 919-477-6131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT CLAY PENNINGTON JR. MD” Practice Location

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