John Anderson Fagg in Winston-salem - Plastic Surgery
John Anderson Fagg - NPI 1316905508
John Anderson Fagg is a Plastic Surgery in Winston-salem, North Carolina. John Anderson Fagg practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for John Anderson Fagg is 1316905508. The last update date is 2012-12-17.
John Anderson Fagg's current location address is 2901 Maplewood Ave, Winston-salem, North Carolina. You can contact this provider via phone number 3367658620 and fax number 3367686236. The mailing address for John Anderson Fagg is 2901 Maplewood Ave, Winston-salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Anderson Fagg |
|---|---|
| Address | 2901 Maplewood Ave, Winston-salem, North Carolina |
| Phone Number | 3367658620 |
| Fax Number | 3367686236 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316905508 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2012-12-17 |
Provider Mailing Address Detail
| Address | 2901 Maplewood Ave |
|---|---|
| City | Winston-salem |
| State | North Carolina (NC) |
| Post Code | 27103 |
| Phone Number | 3367658620 |
| Fax Number | 3367686236 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 200001199779 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 240001710 | NC | RAILROAD MEDICARE | |
| 8931036 | NC | -- | |
| 60623 | NC | MEDCOST | |
| 31036 | NC | BCBS | |
| 912 | NC | PARTNERS |
Post Comment/ Review Below
What is the John Anderson Fagg's 1316905508?
The John Anderson Fagg's NPI (National Provider Identifier) Number is 1316905508. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where John Anderson Fagg is physically located?
The John Anderson Fagg is situated at the following address: 2901 Maplewood Ave, Winston-Salem, NC 27103.
What is John Anderson Fagg's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Anderson Fagg is Plastic Surgery, and the corresponding taxonomy classification code for this specialized field is 208200000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1316905508 to John Anderson Fagg?
The Centers for Medicare & Medicaid Services assigned the 1316905508 to John Anderson Fagg on 2006-05-04.
When was the information regarding John Anderson Fagg, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John Anderson Fagg, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-12-17.