Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 24483 | NC |
NPI | 1063452506 |
---|---|
Provider Name | Barton R. Paschal |
First Address | Fletcher, NC 28732-1869 |
Second Address | Clyde, NC 28721-8024 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 05/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8965736 | (05) | NC |
C85904 | (02) | NC |
P00956369 | RAILROAD MEDICARE (01) | NC |
P01300116 | MEDICARE RR (01) | NC |