Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 200200521 | NC |
NPI | 1023079787 |
---|---|
Provider Name | Andrea Foiles |
First Address | Charlotte, NC 28219-9305 |
Second Address | Wilmington, NC 28403-6022 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 20/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H62233 | (02) |