Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 6748 | NC |
NPI | 1013937986 |
---|---|
Provider Name | Dr. Robert Scott Nance |
First Address | Statesville, NC 28677-3521 |
Second Address | Statesville, NC 28677-3521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 08/07/2007 |