Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 202002534 | NC |
NPI | 1043639800 |
---|---|
Provider Name | Dr. Robert Carlton Palmer |
First Address | Avon Park, FL 33825-9730 |
Second Address | Greenville, NC 27834-7286 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2014 |
Last Update Date | 11/09/2020 |