Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 19681 | NC |
NPI | 1003856329 |
---|---|
Provider Name | Dr. George Albert Dasher |
First Address | Charlotte, NC 28236-6488 |
Second Address | Charlotte, NC 28210-8475 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 18/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
27093 | BCBS NC INDIVIDUAL # (01) | NC |
9596 | PARTNERS MEDICARE # (01) | NC |
C89347 | (02) | NC |