Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0102203565 | VA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 02002167 | IN |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 2017-00062 | NC |
NPI | 1487645990 |
---|---|
Provider Name | Anthony A Mcpherron |
First Address | Sylva, NC 28779-5146 |
Second Address | Sylva, NC 28779-5146 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2005 |
Last Update Date | 20/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1487645990 | (05) | VA |
200038716 | RAILROAD MEDICARE (01) | IN |
207X00000X | (05) | NC |
207XS0114X | (05) | NC |
G07842 | (02) | IN |