Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 2015-00460 | NC |
NPI | 1003108317 |
---|---|
Provider Name | Caroline L Denwood |
First Address | Clyde, NC 28721-8026 |
Second Address | Clyde, NC 28721-8026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2011 |
Last Update Date | 16/04/2015 |