Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 7419 | NC |
Y | 213EG0000X | General Practice | 7419 | NC |
N | 204E00000X | Oral & Maxillofacial Surgeon | 7419 | NC |
NPI | 1013074020 |
---|---|
Provider Name | Dr. Valerie C Pollock |
First Address | Burgaw, NC 28425-0874 |
Second Address | Burgaw, NC 28425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 22/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
016FY | BCBS OF NC (01) | NC |
1013074020 | INDIVIDUAL NPI (01) | NC |
1992881254 | GROUP NPI (01) | NC |
89902E7 | (05) | NC |
902E7 | BCBS OF NC MEDICAL BILLING (01) | NC |