Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | C51626 | NC |
NPI | 1073918199 |
---|---|
Provider Name | Douglas Mcveigh |
First Address | Greenville, NC 27834-7268 |
Second Address | Greenville, NC 27834-7268 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2014 |
Last Update Date | 31/10/2014 |