Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 12160 | NC |
N | 1223G0001X | General Practice | 9973 | TN |
N | 213EG0000X | General Practice | 9973 | TN |
NPI | 1689081937 |
---|---|
Provider Name | Dr. Sabrina Marie Porcher-Fennell |
First Address | Chapel Hill, NC 27514-1660 |
Second Address | Chapel Hill, NC 27514-1660 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2014 |
Last Update Date | 01/09/2021 |