Mccauley, Roger Lee

Mccauley, Roger Lee is an individual health care provider with primary practice located at 175 Kimel Park Dr Ste 115, Winston-Salem NC 27103-6951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mccauley, Roger Lee can be contacted via phone (336) 768-6930.

Contact Information

Primary practice address
175 Kimel Park Dr Ste 115 Winston-Salem NC 27103-6951
Fax: (336) 768-6328
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 20823 North Carolina

Profile Details

NPI number 1043207616
LBN Legal business name Mccauley, Roger Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043207616 NPPES
North Carolina MEDICAID 8955760

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