Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0127X | Trauma Surgeon | 200200366 | NC |
NPI | 1326030123 |
---|---|
Provider Name | Dr. Claudia E Goettler |
First Address | Charlotte, NC 28275-1069 |
Second Address | Greenville, NC 27834-2849 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2005 |
Last Update Date | 16/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020052554 | RAILROAD MEDICARE (01) | NC |
13150 | BCBS NC (01) | NC |
8913150 | (05) | NC |
H53789 | (02) | NC |