Organization
E GARY MCDOUGAL, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. E GARY MCDOUGAL MD (PRESIDENT)
(828) 322-9105
Entity
Organization
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
BCBS OF NC
—
05
—
5950199
—
NC
Enumeration date
12/18/2007
Last updated
10/13/2008
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