Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 201800683 | NC |
NPI | 1003294059 |
---|---|
Provider Name | Adriana Cline |
First Address | Burlington, NC 27215-8700 |
Second Address | Elon, NC 27244 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2015 |
Last Update Date | 18/03/2020 |