Provider Demographics
NPI:1356408207
Name:SIGMON, JAMES GREGG (MD)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:GREGG
Last Name:SIGMON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:4008 NC HWY. 42 W
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-7774
Mailing Address - Country:US
Mailing Address - Phone:252-291-2215
Mailing Address - Fax:252-237-2281
Practice Address - Street 1:4008 NC HWY. 42 W
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-7774
Practice Address - Country:US
Practice Address - Phone:252-291-2215
Practice Address - Fax:252-237-2281
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31650207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890296AMedicaid
NC2309651AMedicare ID - Type Unspecified
NC2309651Medicare Oscar/Certification
NC890296AMedicaid
D92847Medicare UPIN