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Individual

DR. NATHAN T TAGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2351 ERWIN RD, DURHAM, NC 27705-4699
(919) 681-3937
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(240) 401-2631

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01057675A
IN
2084N0400X
Neurology Physician
Primary
2021-00163
NC
2084N0400X
Neurology Physician
37178
IA
2084N0400X
Neurology Physician
60193652
WA
2084N0400X
Neurology Physician
D72841
MD

Other

Enumeration date
10/12/2005
Last updated
09/07/2021
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