Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | A134602 | CA |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | A134602 | CA |
NPI | 1760684757 |
---|---|
Provider Name | Dr. Carter Harrison Sigmon |
First Address | Rancho Santa Fe, CA 92067-4227 |
Second Address | Rancho Santa Fe, CA 92067 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2007 |
Last Update Date | 03/01/2020 |