DR. ROBERT MCCLURE III (NPI# 1295818672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295818672 |
| Entity Type | Individual |
| Full Name | DR. ROBERT MCCLURE III |
| Credential | M.D. |
| Practice Address |
5024 Lawrenceville Hwy Nw Lilburn GA 30047-4914 |
| Practice Telephone | 7709214740 |
| Practice Fax Number | 7709211993 |
| Mailing Telephone | 7709214740 |
| Mailing Fax Number | 7709211993 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
017631 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609927367 | Robert C Mcclure | Internal Medicine | 2052 Apache Ln, Lafayette, CO 80026-3425 | 2007-01-16 |
| 1750319505 | Robert Bruce Mcclure | Family Medicine | 900 I St Fl 2, La Porte, IN 46350 | 2006-06-29 |
| 1215997549 | Robert J Mcclure | Optometrist | 1426 Altamont Ave, Schenectady, NY 12303-2980 | 2006-03-23 |
| 1447253786 | Robert E Mcclure | Family Medicine | 301 Sunset Dr, Caneyville, KY 42721 | 2005-05-31 |
| 1669895769 | Robert Mcclure | Radiology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2014-01-24 |
| 1508142712 | Robert Scott Mcclure | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 75 Francis St, Boston, MA 02115-6110 | 2011-11-01 |
| 1003965310 | Robert Dale Mcclure | Surgery | 1100 9th Ave, Seattle, WA 98101-2756 | 2007-01-09 |
| 1902963366 | Robert L Mcclure | Chiropractor | 2950 Dale Blvd, Dale City, VA 22193-1120 | 2007-01-03 |
| 1659469427 | Robert K Mcclure | Psychiatry & Neurology | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-10 |
| 1750309845 | Robert Todd Mcclure | Radiology | 225 Big Station Camp Blvd, Suite 104, Gallatin, TN 37066-8464 | 2006-07-17 |
| Street Address |
5024 LAWRENCEVILLE HWY NW |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-4914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326237520 | Larry H Pierce Md PC | Dermatology | 1267 Interstate Pkwy, Augusta, GA 30909-6481 | 2007-10-24 |
| 1891824108 | Tanda Nichole Lane | Dermatology | 1210 Brookstone Centre Pkwy, Columbus, GA 31904-2954 | 2007-03-04 |
| 1801959101 | South Fulton Dermatology Associates,llp | Dermatology | 2719 Felton Dr, East Point, GA 30344-3603 | 2006-12-18 |
| 1952495558 | Larry H. Pierce | Dermatology | 1267 Interstate Pkwy., Augusta, GA 30909 | 2006-10-03 |
| 1578586400 | Jason L Smith | Dermatology | 103 John Maddox Dr Nw, Rome, GA 30165-1419 | 2006-07-25 |
| 1023082005 | Abdul Hafeez | Dermatology | 631 Professional Dr Ste 110, Lawrenceville, GA 30046-3367 | 2006-02-15 |
| 1205138757 | Amanda Eileen Harpring | Dermatology | 3379 Peachtree Rd Ne, Suite 500, Atlanta, GA 30326-1031 | 2010-12-02 |
| 1538396577 | Center for Dermatology, LLC | Dermatology | 631 Professional Dr Ste 110, Lawrenceville, GA 30046-3367 | 2009-06-17 |
| 1114100377 | Cole Dermatology & Aesthetic Center, P.C. | Dermatology | 3655 Howell Ferry Rd, Ste 400, Duluth, GA 30096-3186 | 2007-12-11 |
| 1467641381 | Northwest Georgia Dermatology & Skin Surgery Center PC | Dermatology | 103 John Maddox Dr Nw, Rome, GA 30165-1419 | 2007-10-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.