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NPI Code Detail

MEDICARE: ROBERT L MCLAURIN JR. MD

MEDICARE: ROBERT L MCLAURIN 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
12085R0001XRadiation Oncology Physician33549NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11412GOTHERNCBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487694360
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT L MCLAURIN JR. MD
Provider Business Mailing Address
First Line : 6600 GREYWALLS LN
Second Line :
City : RALEIGH
State : NC
Zip : 27614-8204
Country : US
Telephone Number : 919-497-0113
Fax Number : 919-497-0115
Provider Business Practice Location Address
First Line : 113 JOLLY ST
Second Line :
City : LOUISBURG
State : NC
Zip : 27549-2239
Country : US
Telephone Number : 919-497-0113
Fax Number : 919-497-0115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 04/27/2012

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