Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 2018-00363 | NC |
NPI | 1003202268 |
---|---|
Provider Name | Heather Root |
First Address | Chapel Hill, NC 27599-7030 |
Second Address | Chapel Hill, NC 27599 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2015 |
Last Update Date | 11/06/2018 |