Individual
DR. BOBBY GLENN CLIFTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 E GROVER ST, SHELBY, NC 28150-3917
(704) 487-3000
(704) 476-7416
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9300668
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
9300668
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050046483
RAILROAD MEDICARE
NC
01
—
23083
BCBSNC
NC
01
—
4597856
AETNA
NC
01
—
7279095001
CIGNA
NC
01
—
85328
MEDCOST
NC
05
—
8923083
—
NC
05
—
N00661
—
SC
Enumeration date
05/24/2006
Last updated
07/17/2018
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