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NPI Code Detail

MEDICARE: DR. TERRI BRIDGES CATES M.D.

MEDICARE: DR. TERRI BRIDGES CATES 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
1174400000XSpecialist2005-01205NC
2208000000XPediatrics Physician2005-01205NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326017278
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TERRI BRIDGES CATES M.D.
Provider Business Mailing Address
First Line : 107 WEEKS DR
Second Line :
City : ROXBORO
State : NC
Zip : 27573-3929
Country : US
Telephone Number : 336-598-5480
Fax Number : 336-598-5482
Provider Business Practice Location Address
First Line : 107 WEEKS DR
Second Line :
City : ROXBORO
State : NC
Zip : 27573-3929
Country : US
Telephone Number : 336-598-5480
Fax Number : 336-598-5482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 08/26/2020

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