Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 17098 | NC |
Y | 2080A0000X | Adolescent Medicine | 17098 | NC |
N | 2080A0000X | Adolescent Medicine | 17585 | SC |
NPI | 1245233303 |
---|---|
Provider Name | Dr. Robert Rhea Earnest |
First Address | Lumberton, NC 28360-9494 |
Second Address | Lumberton, NC 28360-9494 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 27/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1095Y | BCBS (01) | NC |
1201123 | UNITEDHEALTHCARE (01) | NC |
5900313 | (05) | NC |
C80956 | (02) | NC |
D8843 | MEDCOST (01) | NC |