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Individual
ROBERT LYLE DOUGH JR.
Active
Individual
ROBERT LYLE DOUGH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27449
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22490
PARTNERS MEDICARE PROVIDE
NC
01
—
29096
BCBS NC PROVIDER #
NC
01
—
39623
MEDCOST PROVIDER NUMBER
NC
01
—
5027051
AETNA PROVIDER NUMBER
NC
05
—
7929096
—
NC
Enumeration date
04/10/2006
Last updated
03/05/2014
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