Provider Demographics
NPI:1447475900
Name:MCLAWHORN, KRISTEL J (MD)
Entity type:Individual
Prefix:
First Name:KRISTEL
Middle Name:J
Last Name:MCLAWHORN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KRISTEL
Other - Middle Name:L
Other - Last Name:JERNIGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:511 PALADIN DRIVE
Mailing Address - Street 2:EASTERN NEPHROLOGY ASSOCIATES
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834
Mailing Address - Country:US
Mailing Address - Phone:252-752-8880
Mailing Address - Fax:
Practice Address - Street 1:EASTERN NEPHROLOGY ASSOCIATES, PLLC
Practice Address - Street 2:511 PALADIN DRIVE
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-7826
Practice Address - Country:US
Practice Address - Phone:252-752-8880
Practice Address - Fax:252-317-2092
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP00367207R00000X
VA0116020871207RN0300X
NC2010-00444207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine