Basic Information
Provider Information
NPI: 1205883337
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FOLGER
FirstName: JOHN
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1689
Address2:  
City: ETOWAH
State: NC
PostalCode: 287291689
CountryCode: US
TelephoneNumber: 8288915524
FaxNumber: 8288914069
Practice Location
Address1: 215 RIVER RIDGE RD
Address2:  
City: BREVARD
State: NC
PostalCode: 287124732
CountryCode: US
TelephoneNumber: 8288842150
FaxNumber: 8288914069
Other Information
ProviderEnumerationDate: 05/26/2006
LastUpdateDate: 11/12/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207QG0300X9413NCY Allopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine

No ID Information.


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