Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 19234 | NC |
NPI | 1033135108 |
---|---|
Provider Name | Robert Lanier Groat |
First Address | Greensboro, NC 27401-1033 |
Second Address | Greensboro, NC 27401-1033 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0800177 | UNITED HEALTHCARE OF NC (01) | NC |
1552894 | CIGNA (01) | NC |
19437 | OPTICARE (01) | NC |
37702 | BLUE CROSS BLUE SHIELD (01) | NC |
8937702 | (05) | NC |
C80733 | (02) |