Provider Demographics
NPI:1235173766
Name:DOOLITTLE, ROBERT P (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:P
Last Name:DOOLITTLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:102 POMONA DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-1616
Mailing Address - Country:US
Mailing Address - Phone:336-299-0000
Mailing Address - Fax:336-299-2335
Practice Address - Street 1:102 POMONA DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1616
Practice Address - Country:US
Practice Address - Phone:336-299-0000
Practice Address - Fax:336-299-2335
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21169207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC28927OtherBLUE CROSS BLUE SHIELD
NC5243677OtherCIGNA
NC5076269OtherAETNA
NC080097390OtherRAILROAD MEDICARE
NC54453OtherMEDCOST, LLC
NC0101889OtherUHC
NC7928927Medicaid
NC5243677OtherCIGNA
NC7928927Medicaid