Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 35324 | NC |
NPI | 1124004122 |
---|---|
Provider Name | Dr. David Allen Duncan |
First Address | Charlotte, NC 28260-0447 |
Second Address | Winston-Salem, NC 27104-3770 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2005 |
Last Update Date | 28/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8929389 | (05) | NC |
F30179 | (02) |