Provider Demographics
NPI:1043315450
Name:MCCURRY, ROBERT J (MED)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:J
Last Name:MCCURRY
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 S ELM ST
Mailing Address - Street 2:SUITE 325
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2674
Mailing Address - Country:US
Mailing Address - Phone:336-274-2100
Mailing Address - Fax:336-274-6366
Practice Address - Street 1:101 S ELM ST
Practice Address - Street 2:SUITE 325
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2674
Practice Address - Country:US
Practice Address - Phone:336-274-2100
Practice Address - Fax:336-274-6366
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC624103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102442Medicaid