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
Phone: (336) 768-6930
Fax: (336) 768-6328
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043207616 | NPPES |
North Carolina | MEDICAID | 8955760 |
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