Individual
DR. WILLARD L MCCLOUD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 BECKER DR, ROANOKE RAPIDS, NC 27870-3134
(252) 537-8193
(252) 537-0589
Mailing address
204 BECKER DR, ROANOKE RAPIDS, NC 27870-3134
(252) 537-8193
(252) 537-0589
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
24685
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8955819
—
NC
Enumeration date
01/29/2007
Last updated
11/11/2020
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