Individual
MR. ROGER LEE MCCAULEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 KIMEL PARK DR, STE 115, WINSTON-SALEM, NC 27103-6951
(336) 768-6930
(336) 768-6328
Mailing address
175 KIMEL PARK DR, STE 115, WINSTON-SALEM, NC 27103-6951
(336) 768-6930
(336) 768-6328
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20823
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8955760
—
NC
Enumeration date
09/29/2005
Last updated
07/08/2007
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