JOHNNY WAYNE BAGWELL

GARNER, NC
NPI1568424869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NC  23249)
Enumeration Date2006-04-04
Last Update Date2009-10-22
Business Address
Mr. JOHNNY WAYNE BAGWELL MD
801 POOLE DR
GARNER, NC 27529-5207
Phone number: 919-779-1440
Mailing Address
Mr. JOHNNY WAYNE BAGWELL MD
801 POOLE DR
GARNER, NC 27529-5207
Phone number: 919-779-1440
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