Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 39061 | NC |
NPI | 1336230275 |
---|---|
Provider Name | Dr. John H Piland |
First Address | Conover, NC 28613-8928 |
Second Address | Conover, NC 28613-8928 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E61454 | (02) | NC |