Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 4635 | NC |
Y | 213EG0000X | General Practice | 4635 | NC |
NPI | 1003068537 |
---|---|
Provider Name | Dr. Gregory Essick |
First Address | Chapel Hill, NC 27516-2884 |
Second Address | Chapel Hill, NC 27599-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2008 |
Last Update Date | 15/10/2008 |