Organization
NEUROSURGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL K ST CLAIR MD (OWNER)
(919) 235-0500
Entity
Organization
Contact information
Practice address
4201 LAKE BOONE TRL, STE 202, RALEIGH, NC 27607-7512
(919) 235-0500
(919) 235-0505
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011GA
BCBS OF NC
NC
01
—
0605385
UNITED HEALTHCARE
NC
01
—
2070150
FIRST HEALTH
NC
01
—
4063806
AETNA
NC
01
—
706943
CHOICE CARE NETWORK
NC
05
—
89011GA
—
NC
01
—
97486
MEDCOST
NC
Enumeration date
02/22/2006
Last updated
12/22/2010
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