Individual
DR. VERA ELLEN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
108 S STATE ST, YADKINVILLE, NC 27055-8249
(336) 679-2733
(336) 679-6263
Mailing address
PO BOX 249, YADKINVILLE, NC 27055-0249
(336) 679-4963
(336) 679-2549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33822
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144KP
BCBS OF NC
NC
01
—
195349
MEDCOST
NC
01
—
33822
LICENSE NUMBER
NC
01
—
48802
PARTNERS/BLUE MEDICARE
NC
05
—
8932271
—
NC
Enumeration date
04/06/2006
Last updated
11/13/2009
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