Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301088887 | MI |
N | 111NI0900X | Internist | 4301088887 | MI |
Y | 207RC0000X | Internist - Cardiovascular Disease | 4301088887 | MI |
N | 207U00000X | Nuclear Medicine Specialist | 4301088887 | MI |
NPI | 1063533875 |
---|---|
Provider Name | Dr. John Michael Cahill |
First Address | Charlotte, NC 28275-1069 |
Second Address | Greenville, NC 27834-8982 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 25/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
153GK | BCBS NC (01) | NC |
5911912 | (05) | NC |
P00748877 | RAILROAD MEDICARE (01) | NC |