Individual
DR. JAMES E FOGARTIE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-7600
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
11507
SC
2086S0129X
Vascular Surgery Physician
Primary
9700951
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1065X
BLUE CROSS BLUE SHIELD
NC
01
—
3752662
UNITEDHEALTHCARE
NC
01
—
5636076
AETNA
NC
01
—
802153
PARTNERS MEDICARE
NC
05
—
891065X
—
NC
01
—
C6339
MEDCOST
NC
01
—
P00016340
MEDICARE RAILROAD
NC
Enumeration date
06/03/2006
Last updated
04/18/2024
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