Provider Demographics
NPI:1891793568
Name:PEARCE, PATRICIA LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:LEE
Last Name:PEARCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181-101 WIND CHIME CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6475
Mailing Address - Country:US
Mailing Address - Phone:919-870-8577
Mailing Address - Fax:
Practice Address - Street 1:181-101 WIND CHIME CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6475
Practice Address - Country:US
Practice Address - Phone:919-870-8577
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:2006-03-15
Deactivation Code:
Reactivation Date:2006-03-20
Provider Licenses
StateLicense IDTaxonomies
NCNC298652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8966389Medicaid
NC66389OtherBLUE CROSS
NC66389OtherBLUE CROSS