Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 36296 | NC |
Y | 208600000X | Surgeon | 36296 | NC |
N | 2086S0129X | Vascular Surgeon | 36296 | NC |
NPI | 1164481685 |
---|---|
Provider Name | Dr. Claude Raymond Workman |
First Address | Charlotte, NC 28260-0447 |
Second Address | Winston Salem, NC 27103-4145 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2006 |
Last Update Date | 28/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1164481685 | (05) | VA |
36296 | NC LICENSE (01) | NC |
89137WN | (05) | NC |
BW6630582 | DEA NUMBER (01) | NC |
I21541 | (02) | NC |