Provider Demographics
NPI:1184689382
Name:MCALLISTER, JOHN D (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:D
Last Name:MCALLISTER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 41008
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28309-1008
Mailing Address - Country:US
Mailing Address - Phone:800-849-5609
Mailing Address - Fax:910-483-8921
Practice Address - Street 1:2601 N ELM ST
Practice Address - Street 2:SUITE A
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-3060
Practice Address - Country:US
Practice Address - Phone:910-738-7241
Practice Address - Fax:910-738-6932
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC38271207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8955405Medicaid
NCE33720Medicare UPIN
NC2235787KMedicare ID - Type Unspecified