Healthcare Provider Details

I. General information

NPI: 1942255146
Provider Name (Legal Business Name): MICHAEL DALE APPLEGATE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 10/28/2020
Certification Date: 09/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 W WARD ST
ASHEBORO NC
27203-5423
US

IV. Provider business mailing address

624 QUAKER LN STE. 207C
HIGH POINT NC
27262-3832
US

V. Phone/Fax

Practice location:
  • Phone: 336-629-3500
  • Fax: 336-629-3521
Mailing address:
  • Phone: 336-883-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number9701686
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: