Provider Demographics
NPI:1659456564
Name:CONNAUGHTON, ANGELA VALORY (MD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:VALORY
Last Name:CONNAUGHTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:186 MEDICAL PARK LOOP
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-5275
Mailing Address - Country:US
Mailing Address - Phone:828-586-7994
Mailing Address - Fax:828-586-7340
Practice Address - Street 1:186 MEDICAL PARK LOOP
Practice Address - Street 2:SUITE 503
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5275
Practice Address - Country:US
Practice Address - Phone:828-586-7994
Practice Address - Fax:828-586-7340
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200600397207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2077028Medicare PIN