Provider Demographics
NPI:1588674162
Name:UHREN, ROBERT JOSEPH JR (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JOSEPH
Last Name:UHREN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:997 OLD HWY 70
Mailing Address - Street 2:SUITE A
Mailing Address - City:BLK MTN
Mailing Address - State:NC
Mailing Address - Zip Code:28711
Mailing Address - Country:US
Mailing Address - Phone:828-669-9704
Mailing Address - Fax:828-669-7413
Practice Address - Street 1:997 OLD HWY 70
Practice Address - Street 2:SUITE A
Practice Address - City:BLK MTN
Practice Address - State:NC
Practice Address - Zip Code:28711
Practice Address - Country:US
Practice Address - Phone:828-669-9704
Practice Address - Fax:828-669-7413
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22191207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8984500Medicaid
NC84500OtherBCBS GROUP
NC2334668OtherMC GR NUMBER
C81038Medicare UPIN
NC202044BMedicare ID - Type Unspecified