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Individual

DORRIS A RAGSDALE

Active
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Individual

DORRIS A RAGSDALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13172
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0083785000
WV
01
200026
LUNG
01
262072
ANTHEM
VA
01
3076165
CIGNA
01
4340524
AETNA
01
5181468
CCN
01
541839718
C&O
01
54183971800
WV WORKERS COMPENSATION
WV
01
541839718017
BS MOUNTAIN STATE
WV
01
72692
CARELINK
Enumeration date
06/13/2005
Last updated
10/15/2011
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