Provider Demographics
NPI:1851359848
Name:DUGGAR, NANCY JENE (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:JENE
Last Name:DUGGAR
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 1:1110 HIGHWAY 78 W
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35501-3657
Mailing Address - Country:US
Mailing Address - Phone:205-512-1200
Mailing Address - Fax:205-384-4999
Practice Address - Street 1:1110 HIGHWAY 78 W
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-3657
Practice Address - Country:US
Practice Address - Phone:205-512-1200
Practice Address - Fax:205-384-4999
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00017417207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51103595OtherBCBS-AL
AL117469Medicaid
AL51103595OtherBCBS-AL
AL102I933714Medicare PIN