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Contact Information

HENRY IGDAL, MD
1850 CRESTVIEW RD
EASLEY, SC29642
 Phone: 828-277-4810
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HENRY IGDAL · (Male)

NPI # 1346259280
Status Active
Credentials MD
Entity Individual
Enumeration date 08/07/2006
Last updated 05/14/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 35141
  • SC License # 38948
  • SC Medicaid NC2564
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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