Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 2019-00612 | NC |
NPI | 1013350727 |
---|---|
Provider Name | Aileen Deng |
First Address | Charlotte, NC 28275-1803 |
Second Address | Charlotte, NC 28262-4358 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2013 |
Last Update Date | 12/08/2021 |