Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 24966 | NC |
NPI | 1023070497 |
---|---|
Provider Name | Dr. Phillip K Dorton |
First Address | Charlotte, NC 28260-0447 |
Second Address | Thomasville, NC 27360-3419 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 26/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8928974 | (05) | NC |
C83557 | (02) | NC |