Provider Demographics
NPI:1821082280
Name:DAGGS, FAITH D (MD)
Entity Type:Individual
Prefix:DR
First Name:FAITH
Middle Name:D
Last Name:DAGGS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FAITH
Other - Middle Name:
Other - Last Name:DEVINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7535 CARPENTER FIRE STATION RD STE 105
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-8617
Mailing Address - Country:US
Mailing Address - Phone:919-230-2100
Mailing Address - Fax:919-230-2133
Practice Address - Street 1:7535 CARPENTER FIRE STATION RD STE 105
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-8617
Practice Address - Country:US
Practice Address - Phone:919-230-2100
Practice Address - Fax:919-230-2133
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2018-00583207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH19546Medicare UPIN