Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 9800690 | NC |
NPI | 1003816158 |
---|---|
Provider Name | Alan Segal |
First Address | Albemarle, NC 28001-3449 |
Second Address | Albemarle, NC 28001-3449 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2005 |
Last Update Date | 08/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H10410 | (02) |