MEDICARE: DR. TAMMY BONE KIGER 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	207R00000X	Internal Medicine Physician	200200244	NC

Other Identifiers

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

General Provider Information

NPI Number	:	1841291036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAMMY BONE KIGER MD

Provider Business Mailing Address
First Line	:	303 GREEN ST E
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27893-4105
Country	:	US
Telephone Number	:	252-293-0013
Fax Number	:	252-243-2576

Provider Business Practice Location Address
First Line	:	8250 NC 58 S
Second Line	:
City	:	ELM CITY
State	:	NC
Zip	:	27822-8079
Country	:	US
Telephone Number	:	252-443-7744
Fax Number	:	252-443-7611

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	10/26/2023

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