Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 2016-01658 | NC |
NPI | 1164447660 |
---|---|
Provider Name | Donald Townsend |
First Address | Forest City, NC 28043 |
Second Address | Forest City, NC 28043-9021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 25/01/2022 |