Provider Demographics
NPI:1376644674
Name:HANDLEY, ROBERT OSLER (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:OSLER
Last Name:HANDLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:220C FOUST STREET
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203
Mailing Address - Country:US
Mailing Address - Phone:336-629-1451
Mailing Address - Fax:336-629-3989
Practice Address - Street 1:220C FOUST STREET
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203
Practice Address - Country:US
Practice Address - Phone:336-629-1451
Practice Address - Fax:336-629-3989
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23285207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8938997Medicaid
NC38997OtherBCBS
NC206979AMedicare ID - Type Unspecified
NC8938997Medicaid