MEDICARE: DR. HENRY CLIFFORD BAGGETT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	16821	NC
2	207YS0012X	Sleep Medicine (Otolaryngology) Physician	16821	NC

General Provider Information

NPI Number	:	1124043823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HENRY CLIFFORD BAGGETT M.D.

Provider Business Mailing Address
First Line	:	2701 GLENWOOD GARDENS LN UNIT 308
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27608-1399
Country	:	US
Telephone Number	:	919-782-0890
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 GLENWOOD GARDENS LN UNIT 308
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27608-1399
Country	:	US
Telephone Number	:	919-782-0890
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	04/14/2021

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