Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 31782 | NC |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 31782 | NC |
NPI | 1447212196 |
---|---|
Provider Name | Dr. Michael S Case |
First Address | Gastonia, NC 28054-0460 |
Second Address | Gastonia, NC 28054-0460 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 19/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8921571 | (05) | NC |
C83163 | (02) | NC |
P00393596 | RAILROAD MEDICARE (01) | NC |