Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 75262 | NC |
NPI | 1144243189 |
---|---|
Provider Name | Ms. Rebecca Bagley |
First Address | Winterville, NC 28590-9435 |
Second Address | Greenville, NC 27834-4300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 30/09/2015 |