Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 18766 | NC |
NPI | 1033202551 |
---|---|
Provider Name | Dr. Duard Frank Fleming JR. |
First Address | Charlotte, NC 28275-1069 |
Second Address | Greenville, NC 27834-3773 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 08/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0481930001 | MNSC (01) | NC |
32550 | BCBS (01) | NC |
8932550 | (05) | NC |
B3111 | MEDCOST (01) | NC |
C87939 | (02) | NC |