Individual
SAMUEL K ST CLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4207 LAKE BOONE TRL STE 220, RALEIGH, NC 27607-6685
(919) 784-1410
Mailing address
4201 LAKE BOONE TRL, STE 202, RALEIGH, NC 27607-7512
(919) 235-0500
(919) 235-0505
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
39097
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0650385
UNITED HEALTHCARE
NC
01
—
140006908
RAILROAD MEDICARE
NC
01
—
2070150
FIRST HEALTH
NC
01
—
4063806
AETNA
NC
01
—
56219447701
TRICARE
NC
01
—
706943
CHOICE CARE NETWORK
NC
01
—
79535
BCBS NC
NC
05
—
8979535
—
NC
01
—
97486
MEDCOST
NC
Enumeration date
02/22/2006
Last updated
07/09/2019
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