Individual
WANDA LEE RADFORD
Active
Individual
WANDA LEE RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
20184
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154780
WELLPATH
NC
01
—
1548820004
CIGNA
NC
01
—
29643
MEDCOST
NC
01
—
4481969
AETNA
NC
01
—
562142486
UHC
NC
01
—
69919
BCBS
NC
05
—
89699
—
NC
Enumeration date
03/02/2006
Last updated
08/14/2012
Update your record
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