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NPI Code Detail

MEDICARE: DR. JOHN WILLIAM RAGSDALE III MD

MEDICARE: DR. JOHN WILLIAM RAGSDALE III 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
1207Q00000XFamily Medicine Physician200300870NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113474OTHERNCBCBS NC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972599603
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN WILLIAM RAGSDALE III MD
Provider Business Mailing Address
First Line : 5213 S ALSTON AVE
Second Line :
City : DURHAM
State : NC
Zip : 27713-4430
Country : US
Telephone Number : 919-684-8111
Fax Number :
Provider Business Practice Location Address
First Line : 5213 S ALSTON AVE
Second Line :
City : DURHAM
State : NC
Zip : 27713-4430
Country : US
Telephone Number : 919-684-8111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 10/11/2023

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