Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 8483 | NC |
Y | 1223D0001X | Dental Public Health | 8483 | NC |
NPI | 1215121017 |
---|---|
Provider Name | Dr. Natalie Cecile Givans |
First Address | Mebane, NC 27302-8673 |
Second Address | High Point, NC 27260-6707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2007 |
Last Update Date | 05/09/2007 |