Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 14758 | HI |
Y | 207N00000X | Dermatologist | 2008-00827 | NC |
N | 207N00000X | Dermatologist | IP859 | KY |
NPI | 1033259320 |
---|---|
Provider Name | Dr. Philip Anthony Eaton |
First Address | Salisbury, NC 28144-3359 |
Second Address | Salisbury, NC 28144-3359 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 17/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5911719 | (05) | NC |