Individual
DR. VERNON WATSON PUGH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 522-9479
Mailing address
100 CANFORD WAY, HOLLY SPRINGS, NC 27540-6372
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
38172
NC
2085R0204X
Vascular & Interventional Radiology Physician
Primary
38172
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8969456
—
NC
Enumeration date
03/15/2006
Last updated
08/19/2021
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