Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 9400049 | NC |
N | 2080A0000X | Adolescent Medicine | 9400049 | NC |
NPI | 1164493029 |
---|---|
Provider Name | Dr. Hala A Elhemaily |
First Address | Charlotte, NC 28260-0447 |
Second Address | Matthews, NC 28105-5027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 25/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
50291N | (02) | NC |
8930313 | (05) | NC |