Provider Demographics
NPI:1124024666
Name:CLAPP, CHRISTOPHER RANDOLPH (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:RANDOLPH
Last Name:CLAPP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:100 MEDICAL HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-5197
Mailing Address - Country:US
Mailing Address - Phone:828-433-4484
Mailing Address - Fax:828-433-4487
Practice Address - Street 1:3431 MORGANTON BLVD SW
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-8628
Practice Address - Country:US
Practice Address - Phone:828-758-9177
Practice Address - Fax:828-758-4755
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9600174208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89130AGMedicaid
NCB0725OtherMEDCOST
NC12 00471OtherUNITED HEALTHCARE
NC4455597OtherAETNA
NC130AGOtherBCBS OF NC
NC130AGOtherBCBS OF NC