Provider Demographics
NPI:1245339209
Name:MIDGLEY, JOHN C (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:MIDGLEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:303 TILGHMAN DR
Mailing Address - Street 2:DUNN INTERNAL MEDICINE
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-5524
Mailing Address - Country:US
Mailing Address - Phone:910-892-0162
Mailing Address - Fax:910-892-1145
Practice Address - Street 1:303 TILGHMAN DR
Practice Address - Street 2:DUNN INTERNAL MEDICINE
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-5524
Practice Address - Country:US
Practice Address - Phone:910-892-0162
Practice Address - Fax:910-892-1145
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC23131207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8958795Medicaid
NC8958795Medicaid
NC208854Medicare ID - Type Unspecified