Provider Demographics
NPI:1861432072
Name:RAWLS, WILLIAM CLEATON JR (MD)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:CLEATON
Last Name:RAWLS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3106 ARENDELL STREET
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557
Mailing Address - Country:US
Mailing Address - Phone:252-808-2500
Mailing Address - Fax:252-808-2501
Practice Address - Street 1:3106 ARENDELL STREET
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557
Practice Address - Country:US
Practice Address - Phone:252-808-2500
Practice Address - Fax:252-808-2501
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC31364207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCE16454Medicare UPIN