Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 20360 | NC |
Y | 111NI0900X | Internist | 20360 | NC |
NPI | 1003162082 |
---|---|
Provider Name | Dr. David P. Ward |
First Address | Summerfield, NC 27358-9544 |
Second Address | Summerfield, NC 27358-9544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2012 |
Last Update Date | 27/07/2012 |