Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 32984 | AL |
Y | 208600000X | Surgeon | 32984 | AL |
N | 2086X0206X | Surgical Oncologist | 32984 | AL |
NPI | 1053678128 |
---|---|
Provider Name | Caroline Elizabeth Mcgugin |
First Address | Mobile, AL 36607-3515 |
Second Address | Mobile, AL 36607-3515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2012 |
Last Update Date | 26/03/2020 |