Individual
DR. CLINTON EDWARD MASSEY
Active
Individual
DR. CLINTON EDWARD MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
200201492
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133T8
BLUE CROSS BLUE SHIELD
NC
05
—
89133T8
—
NC
01
—
P00444727
MEDICARE RR
NC
Enumeration date
05/24/2006
Last updated
02/01/2012
Update your record
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