Doctor Name: | CECILIA AGOR |
NPI Number: | 1558536318 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 00993 |
Business Practice Address: | 203 S Trenton St Gastonia, NC - 280523812 |
Business Phone Number: | 7048549257 |
Business Fax Number: | 7048549258 |
Mailing Address: | Po Box 3685, GASTONIA |
State: | NC |
Postal Code: | 280540020 |
Phone Number: | 7048549257 |
Fax Number: | 7048549258 |
NPI Enumeration Date: | 04/23/2008 |
NPI Last Update Date: | 04/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 00993 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |