Provider Demographics
NPI:1760455943
Name:MCLAWHORN, NETASHA S (MD)
Entity Type:Individual
Prefix:
First Name:NETASHA
Middle Name:S
Last Name:MCLAWHORN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NETASHA
Other - Middle Name:D
Other - Last Name:SPIVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2920 HIGHWOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-0010
Mailing Address - Country:US
Mailing Address - Phone:877-498-4490
Mailing Address - Fax:
Practice Address - Street 1:3024 NEW BERN AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1247
Practice Address - Country:US
Practice Address - Phone:919-350-7844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200200412207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC132J2OtherBCBS OF NC
NC160057561OtherRR MEDICARE
NC89-132J2Medicaid
H66877Medicare UPIN
NC2006428Medicare ID - Type Unspecified