Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 18524 | NC |
N | 208G00000X | Cardiothoracic Vascular Surgeon | VL 4796 | SC |
NPI | 1114923349 |
---|---|
Provider Name | Dr. W Robin Howe |
First Address | Landrum, SC 29356-3157 |
Second Address | Landrum, SC 29356-3157 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 29/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D95902 | (02) | KY |