Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 4866 | NC |
NPI | 1861907081 |
---|---|
Provider Name | Cole H Valko |
First Address | Charlotte, NC 28213-6913 |
Second Address | Charlotte, NC 28213-6913 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2017 |
Last Update Date | 11/12/2017 |