Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 0095-00532 | NC |
NPI | 1013066026 |
---|---|
Provider Name | Hershell Cassell |
First Address | Raleigh, NC 27609-7317 |
Second Address | Raleigh, NC 27609-7317 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 20/04/2017 |