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Mack Drake

Surgeon Surgical Critical Care

517 Moye Blvd
Greenville , North Carolina 27834

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Mack Drake

Surgeon Surgical Critical Care

517 Moye Blvd
Greenville , North Carolina 27834

Write a Review Save Call

Mack Drake

Surgeon Surgical Critical Care

517 Moye Blvd
Greenville , North Carolina 27834

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Surgeon
  • Surgical Critical Care

Languages spoken

  • English

Location

517 Moye Blvd Greenville , North Carolina 27834

First Address

  • Mack Drake
  • Po Box 751069
  • Charlotte, NC
  • Zip : 28275-1069
  • Phone :

Second Address

  • Mack Drake
  • 517 Moye Blvd
  • Greenville, NC
  • Zip : 27834
  • Fax : (252) 847-8208
  • Phone : (252) 847-4299

Reviews

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FAQs


Where did Mack Drake attend graduate school?

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Where did Mack Drake do his residency?

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Where did Mack Drake do his fellowship?

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Is Mack Drake board certified?

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What type of doctor is Mack Drake

Surgeon

In what state does Mack Drake practice in?

North Carolina

Where is Mack Drake ’s practice located?

517 Moye Blvd , Greenville, North Carolina, 27834

What is Mack Drake ’s gender?

Male

Is Mack Drake a sole practitioner?

No

Is Mack Drake accepting new patients?

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What languages does Mack Drake speak?

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Does Mack Drake accept insurance?

Yes, Mack Drake accepts insurance

Does Mack Drake offers telemedicine?

Mack Drake has not indicated if he offers telemedicine

What is Mack Drake ’s professional license number?

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What is Mack Drake ’s NPI number?

1114160629

Does Mack Drake have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 208200000X Surgeon 2018-01150 NC
Y 208600000X Surgeon 2018-01150 NC
N 2086S0102X Surgical Critical Care 03786 KY
N 2086S0102X Surgical Critical Care 077615 GA

National Provider Identifier

NPI 1114160629
Provider Name Mack Drake
First Address Charlotte, NC 28275-1069
Second Address Greenville, NC 27834
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 14/04/2009
Last Update Date 20/02/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1114160629 (05) NC
19XAV BCBS OF NC (01) NC
NN2984A MEDICARE (01) NC

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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