Individual
DALE W CAUGHEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5305A WRIGHTSVILLE AVE, WILMINGTON, NC 28403-6507
(910) 799-4220
(910) 799-0460
Mailing address
PO BOX 4667, WILMINGTON, NC 28406-1667
(910) 799-4220
(910) 799-0460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16842
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21738
BLUE CROSS
NC
01
—
589598
UNITED HEALTHCARE
NC
01
—
7557727
CIGNA
NC
05
—
8921738
—
NC
Enumeration date
10/29/2007
Last updated
04/16/2008
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