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Contact Information

SAMUEL K ST CLAIR, MD
4207 LAKE BOONE TRL STE 220
RALEIGH, NC27607-6685
 Phone: 919-784-1410
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SAMUEL K ST CLAIR · (Male)

NPI Number 1073588000
Status Active
Credentials MD
Entity Individual
Enumeration date 02/22/2006
Last updated 07/09/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 39097
  • NC Medicaid 8979535
  • NC Other 4063806 AETNA
  • NC Other 79535 BCBS NC
  • NC Other 706943 CHOICE CARE NETWORK
  • NC Other 2070150 FIRST HEALTH
  • NC Other 97486 MEDCOST
  • NC Other 140006908 RAILROAD MEDICARE
  • NC Other 56219447701 TRICARE
  • NC Other 0650385 UNITED HEALTHCARE
Hospital affiliation(s)
  • NASH GENERAL HOSPITAL - (Acute Care)
    2460 CURTIS ELLIS DRIVE
    ROCKY MOUNT, NC 27804
  • REX HOSPITAL - (Acute Care)
    4420 LAKE BOONE TRAIL
    RALEIGH, NC 27607
  • WILSON MEDICAL CENTER - (Acute Care)
    1705 S TARBORO ST
    WILSON, NC 27893
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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