Organization
CLINTON MEDICAL CLINIC, INC.
Active
Other names
Clinton Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW Q. ROBINSON MBA (PRACTICE ADMINISTRATOR)
(910) 590-0619
Entity
Organization
Contact information
Practice address
403 FAIRVIEW ST, CLINTON, NC 28328-2399
(910) 592-6011
(910) 592-0811
Mailing address
403 FAIRVIEW ST, CLINTON, NC 28328-2399
(910) 592-6011
(910) 592-0811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NC
208000000X
Pediatrics Physician
—
NC
208D00000X
General Practice Physician
Primary
—
—
363A00000X
Physician Assistant
—
NC
363L00000X
Nurse Practitioner
—
NC
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00321919
—
NC
01
—
01340
NCBLUE CROSS BLUE SHIELD
NC
01
—
8382628N
AETNA
NC
05
—
8901340
—
NC
Enumeration date
06/18/2006
Last updated
07/08/2022
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