Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 21033 | NC |
N | 2084N0400X | Neurologist | 21033 | NC |
NPI | 1467479535 |
---|---|
Provider Name | Dr. Ronald L Follmer |
First Address | Charlotte, NC 28203-5812 |
Second Address | Charlotte, NC 28203-5812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2006 |
Last Update Date | 07/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
32879 | NCBCBS (01) | NC |
8932879 | (05) | NC |
C83823 | (02) | NC |
E21033 | (05) | SC |