Individual ProviderRobert Allen ClintonFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address420 Owen Dr, Fayetteville, NC 28304-3430(910) 484-1210PECOS EnrollmentBased on the most recent information from CMS, provider Robert Allen Clinton does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1235222928Provider TypeIndividualFull NameClinton, Robert AllenTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date10/2/2006Last Updated4/1/2020Contact InformationPractice LocationPractice Address420 Owen Dr, Fayetteville, NC 28304-3430Phone(910) 484-1210Fax(910) 484-1347Mailing LocationMailing Address420 Owen Dr, Fayetteville, NC 28304-3430Phone(910) 484-1210Fax(910) 484-1347Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense2005-00848North CarolinaCode207N00000XDescriptionDermatologyAllopathic & Osteopathic PhysiciansLicense2005-00848North Carolina