Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 23261 | NC |
NPI | 1487742888 |
---|---|
Provider Name | Dr. Daniel Clarke-Pearson |
First Address | Chapel Hill, NC 27516-2539 |
Second Address | Greensboro, NC 27403-1118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 17/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5901997 | (05) | NC |
E60188 | (02) | NC |