Individual
CHARLES MIDDLETON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 CLINIC DR, TARBORO, NC 27886-1935
(252) 823-2105
Mailing address
101 CLINIC DR, TARBORO, NC 27886-1935
(252) 823-2105
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138RA
BCBS
NC
01
—
4286012
CIGNA
NC
01
—
552962
UNITED HEALTHCARE
NC
05
—
89138RA
—
NC
01
—
D9175
MEDCOST
NC
Enumeration date
01/20/2006
Last updated
07/08/2007
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