Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 200000579 | NC |
NPI | 1255326526 |
---|---|
Provider Name | Dr. Ronald M Perkin |
First Address | Charlotte, NC 28275-1069 |
Second Address | Greenville, NC 27834-4300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 05/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
126GR | BCBS NC (01) | NC |
370017601 | RAILROAD MEDICARE (01) | NC |
89126GR | (05) | NC |
A88174 | (02) | NC |