Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 0101245499 | VA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 96-00026 | NC |
NPI | 1245314301 |
---|---|
Provider Name | Andra H. James |
First Address | Charlotte, NC 28263-3362 |
Second Address | Durham, NC 27705-4597 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 04/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G52068 | (02) | NC |