Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 9900747 | NC |
NPI | 1003806928 |
---|---|
Provider Name | Dr. Coleman Eric Altman |
First Address | Charlotte, NC 28204-4318 |
Second Address | Charlotte, NC 28204-4318 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 29/04/2014 |