Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 51218 | SC |
N | 111NI0900X | Internist | 51218 | SC |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 239291 | NC |
NPI | 1033644398 |
---|---|
Provider Name | Dana Westerkam Conley |
First Address | Raleigh, NC 27609-6518 |
Second Address | Raleigh, NC 27610-1231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2017 |
Last Update Date | 26/04/2021 |