Provider Demographics
NPI:1194714089
Name:CONRAD, DARAGH M (MS, CGC)
Entity type:Individual
Prefix:
First Name:DARAGH
Middle Name:M
Last Name:CONRAD
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPT OF OB/GYN - MATERNAL FETAL MEDICINE
Mailing Address - Street 2:WAKE FOREST UNIV. SCHOOL OF MEDICINE
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-716-6893
Mailing Address - Fax:335-716-6937
Practice Address - Street 1:DEPT OF OB/GYN - MATERNAL FETAL MEDICINE
Practice Address - Street 2:WAKE FOREST UNIV. SCHOOL OF MEDICINE
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-716-6893
Practice Address - Fax:335-716-6937
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS