Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 38463 | NC |
NPI | 1407836406 |
---|---|
Provider Name | Charles B West JR. |
First Address | Asheboro, NC 27204-5418 |
Second Address | Asheboro, NC 27203-5440 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 08/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F34007 | (02) | NC |