Haggerson, George William

Haggerson, George William is an individual health care provider with primary practice located at 3318 Healy Dr , Winston Salem NC 27103-1404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Haggerson, George William can be contacted via phone (336) 768-7500.

Contact Information

Primary practice address
3318 Healy Dr Winston Salem NC 27103-1404
Fax: (336) 768-2421
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 30914 North Carolina

Profile Details

NPI number 1114984267
LBN Legal business name Haggerson, George William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Sep 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114984267 NPPES
North Carolina MEDICAID 8938079

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