Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 14892 | SC |
Y | 208600000X | Surgeon | 14892 | SC |
N | 2086X0206X | Surgical Oncologist | 14892 | SC |
NPI | 1083661094 |
---|---|
Provider Name | Dr. Paul L Baron |
First Address | Charlotte, NC 28275-1649 |
Second Address | Charleston, SC 29414-5837 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 19/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
148922 | (05) | SC |
E56777 | (02) | SC |