Provider Demographics
NPI:1477518413
Name:CLAYTON, ROBERT ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ERIC
Last Name:CLAYTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4111 WENDELL BLVD
Mailing Address - Street 2:
Mailing Address - City:WENDELL
Mailing Address - State:NC
Mailing Address - Zip Code:27591-6831
Mailing Address - Country:US
Mailing Address - Phone:919-365-8484
Mailing Address - Fax:919-365-8450
Practice Address - Street 1:4111 WENDELL BLVD
Practice Address - Street 2:
Practice Address - City:WENDELL
Practice Address - State:NC
Practice Address - Zip Code:27591-6831
Practice Address - Country:US
Practice Address - Phone:919-365-8484
Practice Address - Fax:919-365-8450
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC30615207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1477518413OtherNPI
NCC83256Medicare UPIN
NC205459EMedicare PIN