Healthcare Provider Details

I. General information

NPI: 1821082280
Provider Name (Legal Business Name): FAITH DEVINE DAGGS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FAITH DEVINE

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2909 MAPLEWOOD AVE
WINSTON SALEM NC
27103-4009
US

IV. Provider business mailing address

PO BOX 60447
CHARLOTTE NC
28260-0447
US

V. Phone/Fax

Practice location:
  • Phone: 336-277-0340
  • Fax: 336-794-9411
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2018-00583
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number89157
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: