Individual
DR. ALAN D MASSENGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18 13TH AVE NE, HICKORY, NC 28601-3748
(828) 322-2644
(828) 327-2235
Mailing address
PO BOX 308, HICKORY, NC 28603-0308
(828) 322-2644
(828) 327-2235
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
9700659
NC
2085N0700X
Neuroradiology Physician
9700659
NC
2085N0904X
Nuclear Radiology Physician
9700659
NC
2085P0229X
Pediatric Radiology Physician
9700659
NC
2085R0202X
Diagnostic Radiology Physician
Primary
9700659
NC
2085R0203X
Therapeutic Radiology Physician
9700659
NC
2085R0204X
Vascular & Interventional Radiology Physician
9700659
NC
2085R0205X
Radiological Physics Physician
9700659
NC
2085U0001X
Diagnostic Ultrasound Physician
9700659
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1039V
BCBS
NC
01
—
246190
MAMSI
NC
01
—
300069385
RAILROAD MEDICARE
NC
01
—
560941927
UNITED HEALTHCARE
NC
05
—
891039V
—
NC
Enumeration date
08/31/2006
Last updated
02/29/2012
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