Provider Demographics
NPI:1629360250
Name:SIGMON, ERIC RUSSELL (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:RUSSELL
Last Name:SIGMON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:WOMACK ARMY MEDICAL CENTER 2817 REILLY ROAD
Mailing Address - Street 2:
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310-0001
Mailing Address - Country:US
Mailing Address - Phone:910-907-6158
Mailing Address - Fax:910-907-8890
Practice Address - Street 1:WOMACK ARMY MEDICAL CENTER 2817 REILLY ROAD
Practice Address - Street 2:
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-0001
Practice Address - Country:US
Practice Address - Phone:910-907-6158
Practice Address - Fax:910-907-8890
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2547942080P0202X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics