Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 9446 | NC |
NPI | 1063750289 |
---|---|
Provider Name | Dr. Brett C Alvey |
First Address | Durham, NC 27713-8220 |
Second Address | Durham, NC 27713-7745 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2013 |
Last Update Date | 26/06/2014 |