Healthcare Provider Details

I. General information

NPI: 1295886166
Provider Name (Legal Business Name): ROLAND C. DRAUGHN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 11/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 E COLLEGE ST
WARSAW NC
28398-2104
US

IV. Provider business mailing address

603 E COLLEGE ST
WARSAW NC
28398-2104
US

V. Phone/Fax

Practice location:
  • Phone: 910-293-3900
  • Fax: 910-293-6702
Mailing address:
  • Phone: 910-293-3900
  • Fax: 910-293-6702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number37821
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: