Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0001X | Dental Public Health | 5307 | KY |
Y | 1223G0001X | General Practice | 5037 | NC |
Y | 213EG0000X | General Practice | 5037 | NC |
NPI | 1326052523 |
---|---|
Provider Name | Dr. Rick Mumford |
First Address | Chapel Hill, NC 27599-7450 |
Second Address | Chapel Hill, NC 27599-7450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 10/12/2010 |