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
Phone: (336) 768-7500
Fax: (336) 768-2421
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1114984267 | NPPES |
| North Carolina | MEDICAID | 8938079 |
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