Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 2012-01450 | NC |
Y | 207Q00000X | Family Doctor | 2012-01450 | NC |
NPI | 1528276425 |
---|---|
Provider Name | Catherine A Galida |
First Address | Connelly Springs, NC 28612-8079 |
Second Address | Connelly Springs, NC 28612-8079 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 16/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1528276425 | (05) | NC |