Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 9500499 | NC |
NPI | 1003814914 |
---|---|
Provider Name | Anthony Lawrence Asher |
First Address | Charlotte, NC 28204-3109 |
Second Address | Charlotte, NC 28204-3109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 06/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
140004702 | RAILROAD MEDICARE (01) | |
8912074 | (05) | NC |
E69506 | (02) | |
N00499 | (05) | SC |