Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 2924 | NC |
NPI | 1477509362 |
---|---|
Provider Name | Dr. Michael Jarod Doster |
First Address | Asheville, NC 28801-1938 |
Second Address | Asheville, NC 28801-1938 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 12/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
085AW | BCBS PROVIDER # (01) | NC |
89085AW | (05) | NC |
U89431 | (02) | NC |