Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QG0300X | Family Doctor - Geriatric Medicine | 9300679 | NC |
N | 207R00000X | Internist | 9300679 | NC |
N | 111NI0900X | Internist | 9300679 | NC |
NPI | 1053402230 |
---|---|
Provider Name | Dr. Frances E. Dechurch |
First Address | Charlotte, NC 28260-0447 |
Second Address | Kernersville, NC 27284-7146 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 25/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
276066 | MAMSI PROFESSIONAL (01) | NC |
28082 | NC BLUE SHIELD (01) | NC |
891065K | (05) | NC |
E52925 | (02) | NC |