Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 0101037024 | VA |
Y | 207SG0201X | Clinical Genetics (M.D.) | 2016-01902 | NC |
N | 208000000X | Pediatrician | 0101037024 | VA |
NPI | 1427119080 |
---|---|
Provider Name | Dr. Margie L Jaworski |
First Address | Charlotte, NC 28275-1069 |
Second Address | Greenville, NC 27834-3736 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 28/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1427119080 | (05) | NC |
19KW0 | BCBS OF NC (01) | NC |