Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 38651 | NC |
NPI | 1013994904 |
---|---|
Provider Name | Drew Alan Macgregor |
First Address | Winston Salem, NC 27102-0344 |
Second Address | Winston Salem, NC 27157-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2005 |
Last Update Date | 05/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10182 | PARTNERS (01) | NC |
2005069000 | (05) | WV |
41212 | MEDCOST (01) | NC |
53675 | BCBS (01) | NC |
5633450 | AETNA (01) | |
6069592 | (05) | VA |
8953675 | (05) | NC |
Q38651 | (05) | SC |