Provider Demographics
NPI:1003162082
Name:WARD, DAVID P (M D)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:P
Last Name:WARD
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7496 WILLIAM BAILEY RD
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27358-9544
Mailing Address - Country:US
Mailing Address - Phone:336-643-6566
Mailing Address - Fax:
Practice Address - Street 1:7496 WILLIAM BAILEY RD
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:NC
Practice Address - Zip Code:27358-9544
Practice Address - Country:US
Practice Address - Phone:336-643-6566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20360207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine