Provider Demographics
NPI:1144230202
Name:WARD, DEMMING MORTON (MD)
Entity Type:Individual
Prefix:DR
First Name:DEMMING
Middle Name:MORTON
Last Name:WARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 MOCKSVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-3327
Mailing Address - Country:US
Mailing Address - Phone:704-637-3538
Mailing Address - Fax:704-637-7793
Practice Address - Street 1:319 MOCKSVILLE AVE
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-3327
Practice Address - Country:US
Practice Address - Phone:704-637-3538
Practice Address - Fax:704-637-7793
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19422207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8985617Medicaid
85617OtherBCBS
211297Medicare ID - Type Unspecified
C87000Medicare UPIN