Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 9801033 | NC |
NPI | 1366444358 |
---|---|
Provider Name | Dr. Richard D Ramos |
First Address | Greensboro, NC 27438-8008 |
Second Address | Greensboro, NC 27408-7616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 28/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
89128AJ | (05) | NC |
H14171 | (02) | NC |