Provider Demographics
NPI:1639934359
Name:PIGFORD, DON CORNEIUS JR
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:CORNEIUS
Last Name:PIGFORD
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 VILLAGE PARK DR
Mailing Address - Street 2:
Mailing Address - City:HOOKERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28538-9772
Mailing Address - Country:US
Mailing Address - Phone:252-286-8937
Mailing Address - Fax:
Practice Address - Street 1:113 VILLAGE PARK DR
Practice Address - Street 2:
Practice Address - City:HOOKERTON
Practice Address - State:NC
Practice Address - Zip Code:28538-9772
Practice Address - Country:US
Practice Address - Phone:252-286-8937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer