Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 2018-01863 | NC |
Y | 111NI0900X | Internist | 2018-01863 | NC |
NPI | 1003202458 |
---|---|
Provider Name | Hanie Fawzy Abdel Masih |
First Address | Rockingham, NC 28379-4874 |
Second Address | Rockingham, NC 28379 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2015 |
Last Update Date | 06/04/2021 |