Healthcare Provider Details

I. General information

NPI: 1538956263
Provider Name (Legal Business Name): JESSICA RENAE SAGANOWICH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EASTOWNE DR
CHAPEL HILL NC
27514-2286
US

IV. Provider business mailing address

100 EASTOWNE DR
CHAPEL HILL NC
27514-2286
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-4462
  • Fax: 919-843-9355
Mailing address:
  • Phone: 984-974-4462
  • Fax: 919-843-9355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2026-04743
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: