Provider Demographics
NPI:1437142957
Name:DIGBY, DONALD JOE (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:JOE
Last Name:DIGBY
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 1:719 GREEN VALLEY RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-7014
Mailing Address - Country:US
Mailing Address - Phone:336-230-1010
Mailing Address - Fax:336-230-1019
Practice Address - Street 1:719 GREEN VALLEY RD
Practice Address - Street 2:SUITE 105
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7014
Practice Address - Country:US
Practice Address - Phone:336-230-1010
Practice Address - Fax:336-230-1019
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27787174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8928579Medicaid
NC8928579Medicaid
NC205936CMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER