Pugh, Raeford Theodore

Pugh, Raeford Theodore is an individual health care provider with primary practice located at 3333 Silas Creek Pkwy , Winston Salem NC 27103-3013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pugh, Raeford Theodore can be contacted via phone (336) 277-1800.

Contact Information

Primary practice address

3333 Silas Creek Pkwy Winston Salem NC 27103-3013

Phone: (336) 277-1800

Fax: (336) 277-6981

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Psychiatry	2084P0800X	33291	North Carolina

Profile Details

NPI number	1770543829
LBN Legal business name	Pugh, Raeford Theodore
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Mar 24th, 2006
Last updated	Oct 25th, 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.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1770543829	NPPES
North Carolina	MEDICAID	8969438

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