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NPI Code Detail

MEDICARE: DR. MICHAEL GERARD MCLAUGHLIN M.D.

MEDICARE: DR. MICHAEL GERARD MCLAUGHLIN 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
12085R0202XDiagnostic Radiology Physician0000-39032NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
157261OTHERNCBLUE CROSS BLUE SHIELD NC
25609948062OTHERNCCIGNA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821091752
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL GERARD MCLAUGHLIN M.D.
Provider Business Mailing Address
First Line : PO BOX 30750
Second Line :
City : GREENVILLE
State : NC
Zip : 27833-0750
Country : US
Telephone Number : 252-752-5000
Fax Number : 252-931-7694
Provider Business Practice Location Address
First Line : 2101 W ARLINGTON BLVD STE 210
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5758
Country : US
Telephone Number : 252-752-5000
Fax Number : 252-931-7694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 04/27/2022

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