Individual
DR. JOHN C POAG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
200 E BESSEMER AVE, GREENSBORO, NC 27401-1416
(336) 574-0074
(336) 379-7466
Mailing address
200 E BESSEMER AVE, GREENSBORO, NC 27401-1416
(336) 574-0074
(336) 379-7466
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2038
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03926
BLUE CROSS BLUE SHIELD
NC
05
—
6000008
—
NC
01
—
6128436
UNITED HEALTHCARE
NC
01
—
7466109
AETNA
NC
Enumeration date
06/09/2006
Last updated
07/08/2007
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