Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | NONE |
NPI | 1386706901 |
---|---|
Provider Name | Bj Tankersley |
First Address | Mars Hill, NC 28754-8700 |
Second Address | Marshall, NC 28753-8700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 08/07/2007 |