Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 9901554 | NC |
NPI | 1114994852 |
---|---|
Provider Name | Dr. Gregory Justin Joseph |
First Address | Charlotte, NC 28222-1249 |
Second Address | Charlotte, NC 28211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 12/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
891233U | (05) | NC |
E62043 | (02) |