Individual
DR. MICHAEL C BAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1813 W EHRINGHAUS ST, ELIZABETH CITY, NC 27909-4555
(252) 333-1155
(252) 333-1796
Mailing address
1813 W EHRINGHAUS ST, ELIZABETH CITY, NC 27909-4555
(252) 333-1155
(252) 333-1796
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1744
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093A0
BCBSNC INDIVIDUAL NUMBER
NC
05
—
89093A0
—
NC
Enumeration date
06/14/2006
Last updated
06/20/2008
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