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Individual

DR. EMORY GARY MCDOUGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1899 TATE BLVD SE, SUITE 2106, HICKORY, NC 28602-4200
(828) 322-9105
(828) 328-4999
Mailing address
1899 TATE BLVD SE, SUITE 2106, HICKORY, NC 28602-4200
(828) 322-9105
(828) 328-4999

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26127
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
56268
NCBCBS
NC
05
5950199
NC
Enumeration date
03/09/2006
Last updated
09/05/2013
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