Individual
DR. HAYWOOD M INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1002 N CHURCH ST, STE 302, GREENSBORO, NC 27401-1439
(336) 387-8100
(336) 387-8202
Mailing address
1002 N CHURCH ST, STE 302, GREENSBORO, NC 27401-1439
(336) 387-8100
(336) 387-8202
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
28654
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8945253
—
NC
Enumeration date
12/01/2005
Last updated
11/05/2007
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