| Dr Robert Mcclure Iii, MD | |
|
5024 Lawrenceville Hwy Nw, Lilburn, GA 30047-4914 | |
| (770) 921-4740 | |
| (770) 921-1993 |
| Full Name | Dr Robert Mcclure Iii |
|---|---|
| Gender | Male |
| Speciality | Dermatology - Procedural Dermatology |
| Location | 5024 Lawrenceville Hwy Nw, Lilburn, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295818672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207NS0135X | Dermatology - Procedural Dermatology | 017631 (Georgia) | Primary |
| Entity Name | Metroderm, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205833894 PECOS PAC ID: 8729076443 Enrollment ID: O20040503000850 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Mcclure Iii, MD 5024 Lawrenceville Hwy Nw, Lilburn, GA 30047-4914 Ph: (770) 921-4740 | Dr Robert Mcclure Iii, MD 5024 Lawrenceville Hwy Nw, Lilburn, GA 30047-4914 Ph: (770) 921-4740 |
Felicity M. Warren, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 3993 Lawrenceville Hwy Nw Ste 110, Lilburn, GA 30047 Phone: 770-852-5552 Fax: 770-852-5553 | |
Paula M. Nelson, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 629 Beaver Ruin Rd Nw, Suite B, Lilburn, GA 30047 Phone: 770-921-4300 Fax: 770-381-6451 | |
Dr. Windell C Davis-boutte, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4650 Stone Mountain Ga, Lilburn, GA 30047 Phone: 770-938-4001 Fax: 770-938-4849 |