Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0402X | Child Neurologist | 0101255753 | VA |
Y | 2084N0402X | Child Neurologist | 2018-01723 | NC |
NPI | 1144495094 |
---|---|
Provider Name | Dr. Dayna Marie Perkowski |
First Address | Charlotte, NC 28260-0447 |
Second Address | Charlotte, NC 28226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2008 |
Last Update Date | 26/10/2020 |