Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 200400857 | NC |
NPI | 1033130422 |
---|---|
Provider Name | Dr. Christopher D Ferris |
First Address | Charlotte, NC 28210-2108 |
Second Address | Charlotte, NC 28287 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 28/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033130422 | (05) | NC |
89137T6 | (05) | NC |
G29377 | (02) | NC |
N0085A | (05) | SC |