Provider Demographics
NPI:1679538961
Name:MCGREGOR, JUDITH C (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:C
Last Name:MCGREGOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 20TH AVENUE CT NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-1278
Mailing Address - Country:US
Mailing Address - Phone:828-327-6637
Mailing Address - Fax:
Practice Address - Street 1:201 E PARKER RD
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-5107
Practice Address - Country:US
Practice Address - Phone:828-433-1206
Practice Address - Fax:828-433-0667
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC386532085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC38653OtherNC LICENSE NO.
NC56751OtherBCBS PROVIDER #
NC38653OtherNC LICENSE NO.