Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 5125 NC | NC |
NPI | 1093738254 |
---|---|
Provider Name | Dr. Geraldine Ross Bills |
First Address | Cary, NC 27511-4215 |
Second Address | Cary, NC 27511-4215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 08/07/2007 |