Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 9901464 | NC |
NPI | 1053360982 |
---|---|
Provider Name | James Cornell Rholl |
First Address | Hendersonville, NC 28791-3532 |
Second Address | Hendersonville, NC 28791-3532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0105L | BCBS (01) | NC |
891246G | (05) | NC |
H06460 | (02) |