Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 33599 | NC |
NPI | 1013978279 |
---|---|
Provider Name | Dr. Cemil Mehmet Purut |
First Address | Hickory, NC 28601-5046 |
Second Address | Hickory, NC 28601-5046 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2006 |
Last Update Date | 19/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3760384 | CAROLINA CARE PLAN (PCP) (01) | NC |
8969459 | (05) | NC |
G30942 | (02) | NC |