Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2008-00356 | NC |
N | 111NI0900X | Internist | 2008-00356 | NC |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 2008-00356 | NC |
NPI | 1073585618 |
---|---|
Provider Name | Dr. Anna Melissa Solum |
First Address | Burlington, NC 27215-8700 |
Second Address | Burlington, NC 27215-8700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 08/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5910911 | (05) | NC |