Ausley, Mett Bagley
Ausley, Mett Bagley is an sole proprietor health care provider with primary practice located at 500 Jefferson St , Whiteville NC 28472-3634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ausley, Mett Bagley can be contacted via phone (910) 642-1715.Contact Information
Primary practice address
500 Jefferson St
Whiteville NC 28472-3634
Phone: (910) 642-1715
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 38004 | North Carolina |
Profile Details
| NPI number | 1962477208 |
|---|---|
| LBN Legal business name | Ausley, Mett Bagley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2006 |
| Last updated | May 14th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962477208 | NPPES |
| North Carolina | MEDICAID | 8912237 | |
| North Carolina | Other | 12237 | |
| North Carolina | Other | 220023875 |
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