Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 35749 | NC |
NPI | 1245234004 |
---|---|
Provider Name | Diane Alane Semer |
First Address | Greenville, NC 27834-5704 |
Second Address | Greenville, NC 27834-5704 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 09/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6975193 | (05) | NC |
E48617 | (02) | NC |