Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 9901154 | NC |
NPI | 1144228800 |
---|---|
Provider Name | Donald Lee Culver |
First Address | Naples, NC 28760-0301 |
Second Address | Hendersonville, NC 28792-9260 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 07/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1254V | BCBS (01) | NC |
380001439 | RAILROAD MEDICARE B (01) | |
891254V | (05) | NC |
C53429 | (02) |