Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 6177 | NC |
NPI | 1730307604 |
---|---|
Provider Name | Dr. Christina Blanton Abernathy |
First Address | Morganton, NC 28655-3938 |
Second Address | Morganton, NC 28655-3938 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 21/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8998109 | (05) | NC |