Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 2012-00733 | NC |
NPI | 1033419056 |
---|---|
Provider Name | Dr. Regis G Hoppenot |
First Address | Greenville, NC 27834-7534 |
Second Address | Greenville, NC 27834-7534 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2010 |
Last Update Date | 06/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1708J | BCBS (01) | NC |
5921124 | (05) | NC |