Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2018-01031 | NC |
N | 111NI0900X | Internist | 2018-01031 | NC |
Y | 207RI0200X | Infectious Disease | 2018-01031 | NC |
NPI | 1053739946 |
---|---|
Provider Name | Dr. Christopher Shoff |
First Address | Durham, NC 27710-0001 |
Second Address | Durham, NC 27710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2014 |
Last Update Date | 02/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2018-01031 | NORTH CAROLINA MEDICAL LICENSE (01) | NC |