Organization
CLINTON X-RAY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON ROBERTS MCDEVITT JR. MD (PRESIDENT)
(910) 592-8070
Entity
Organization
Contact information
Practice address
409 COOPER DR, CLINTON, NC 28328-2817
(910) 592-8070
(910) 592-8549
Mailing address
PO BOX 619, CLINTON, NC 28329-0619
(910) 592-8070
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0122G
BCBS OF NC
NC
05
—
890122G
—
NC
Enumeration date
07/12/2005
Last updated
04/13/2023
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