Wellformed AI

NPI 1043433840 · live from the CMS NPI Registry

Elizabeth Bagby Agnew, D.O.

Internal Medicine in Greensboro, NC. National Provider Identifier 1043433840, active.

NPI record

NPI1043433840 Type 1 · individual
StatusActive
Primary specialtyInternal Medicine 207R00000X
Practice location1200 N Elm St, Greensboro, NC 27401
Practice phone336-832-8062
Mailing address3612 Mizell Rd, Greensboro, NC 27405
EnumeratedApril 10, 2007
Last updatedJuly 8, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine primary207R00000X134240 (NC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.