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Robert Ellis Mcintire, MD
Child & Adolescent Psychiatry Physician in Garner, North Carolina
NPI 1487752325

Robert Ellis Mcintire is a Child & Adolescent Psychiatry Physician based in Leland, NC and is specialized in Child & Adolescent Psychiatry. Robert Ellis Mcintire practices in Garner, NC and has the professional credentials of MD. The NPI Number for Robert Ellis Mcintire is 1487752325 and holds a License No. G88381 (North Carolina).

The current practice location address for Robert Ellis Mcintire is 3200 Waterfield Dr, Garner, NC and can be reached out via phone at 919-800-4400 and via fax at 919-573-4163.

Location: 3200 Waterfield Dr, Garner, NC, 28451-4053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487752325
Provider Name
Robert Ellis Mcintire
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3200 Waterfield Dr, Garner, NC, 28451-4053
Phone Number
919-800-4400
Fax Number
919-573-4163
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001782300 05 FL
ZZZ91892Z 01 CA COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
34296500 05 WI
CA116296 01 CA SANTA CRUZ COUNTY MEDICARE PTAN#
CA116297 01 CA SANTA CRUZ COUNTY MEDICARE PTAN#
FHC 70042 01 CA COUNTY OF SANTA CRUZ MEDI-CAL GROUP#
ZZZ92069Z 01 CA COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
FHC 70044F 01 CA COUNTY OF SANTA CRUZ MEDI-CAL GROUP#
CA116295 01 CA SANTA CRUZ COUNTY MEDICARE PTAN#
ZZZ91891Z 01 CA COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
institution
Provider Business Practice Location Address Details
Address
3200 Waterfield Dr
City
Garner
State
North Carolina
Zip
27529
Phone Number
919-800-4400
Fax Number
919-573-4163
person
Provider Business Mailing Address Details
Address
3200 Waterfield Dr
City
Garner
State
North Carolina
Zip
27529
Phone Number
919-800-4400
Fax Number
919-573-4163
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
G88381 (California)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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