Individual
DR. DEBRA STEIN CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1206 BROWN ST, WASHINGTON, NC 27889-4671
(252) 946-4134
(252) 946-2432
Mailing address
450 COX RD, WASHINGTON, NC 27889-9264
(252) 946-4134
(252) 946-2432
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9500511
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15552
BCBS
NC
05
—
8915552
—
NC
Enumeration date
08/31/2006
Last updated
08/03/2011
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