Provider Demographics
NPI:1265497366
Name:ABERNATHY, DAVID S (M D)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:ABERNATHY
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:607 E PARKER RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-8105
Mailing Address - Country:US
Mailing Address - Phone:828-433-0225
Mailing Address - Fax:828-437-0227
Practice Address - Street 1:607 E PARKER RD
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-8105
Practice Address - Country:US
Practice Address - Phone:828-433-0225
Practice Address - Fax:828-437-0227
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARN-6055207R00000X
NC27416207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8910036Medicaid
NC8910036Medicaid
C81634Medicare UPIN