Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 36767 | NC |
NPI | 1013979426 |
---|---|
Provider Name | Dr. Frank W. Mauldin |
First Address | Hickory, NC 28601-3882 |
Second Address | Hickory, NC 28601-3883 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 25/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7955030 | (05) | NC |
C71248 | (02) | NC |