Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 200001540 | NC |
NPI | 1003994286 |
---|---|
Provider Name | Dr. George A Stouffer III |
First Address | Chapel Hill, NC 27516-2539 |
Second Address | Chapel Hill, ND 27599-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 24/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060062704 | RAIL ROAD MEDICARE (01) | NC |
89127XM | (05) | NC |
E37744 | (02) | NC |