MEDICARE: DR. RALPH H. DUCKETT MD

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	208800000X	Urology Physician	31491	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	340016585	OTHER	NC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	29232	OTHER	NC	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134152333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RALPH H. DUCKETT MD

Provider Business Mailing Address
First Line	:	624 QUAKER LN
Second Line	:	STE. 207C
City	:	HIGH POINT
State	:	NC
Zip	:	27262-3832
Country	:	US
Telephone Number	:	336-883-2500
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 MULBERRY ST SW STE 210
Second Line	:
City	:	LENOIR
State	:	NC
Zip	:	28645-5463
Country	:	US
Telephone Number	:	828-757-6431
Fax Number	:	828-757-6432

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

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	03/18/2021

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