Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 1955 | TN |
N | 111NI0013X | Independent Medical Examiner | 2677 | NC |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 5013429 | NC |
NPI | 1730193731 |
---|---|
Provider Name | Dr. Charles B Sayre |
First Address | Elizabeth City, NC 27909-5518 |
Second Address | Elizabeth City, NC 27909-5518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 14/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U82395 | (02) | NC |
U82395 | (02) | TN |