Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 2011-00774 | NC |
N | 2086S0120X | Pediatric Surgery | ME90213 | FL |
NPI | 1396756821 |
---|---|
Provider Name | Dr. Danielle S. Walsh |
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 | 10/08/2006 |
Last Update Date | 05/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000446729A | (05) | GA |
163PP | BCBSNC (01) | NC |
270146400 | (05) | FL |
5918320 | (05) | NC |