Provider Demographics
NPI:1427053008
Name:MCPHAIL, SCHUBERT DEAN (MD)
Entity type:Individual
Prefix:DR
First Name:SCHUBERT
Middle Name:DEAN
Last Name:MCPHAIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 W DECATUR ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NC
Mailing Address - Zip Code:27025-1913
Mailing Address - Country:US
Mailing Address - Phone:336-548-9618
Mailing Address - Fax:336-445-2227
Practice Address - Street 1:401 W DECATUR ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NC
Practice Address - Zip Code:27025-1913
Practice Address - Country:US
Practice Address - Phone:336-548-9618
Practice Address - Fax:336-445-2227
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17591207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC202289COtherMEDICARE PTAN
NC202289BOtherMEDICARE PTAN
NC8958135Medicaid