Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 201400133 | NC |
NPI | 1154529626 |
---|---|
Provider Name | Dr. Paul Anthony Vieta JR. |
First Address | Pinehurst, NC 28374-9495 |
Second Address | Pinehurst, NC 28374 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2007 |
Last Update Date | 06/09/2018 |