Provider Demographics
NPI:1093789190
Name:MCCARTHY, ROBERT F (D C)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:F
Last Name:MCCARTHY
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 EVANS ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-3266
Mailing Address - Country:US
Mailing Address - Phone:252-758-2222
Mailing Address - Fax:252-758-2524
Practice Address - Street 1:916 EVANS ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-3266
Practice Address - Country:US
Practice Address - Phone:252-758-2222
Practice Address - Fax:252-758-2524
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2058111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890860FMedicaid
NC890860FMedicaid