Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 34115 | NC |
NPI | 1023076494 |
---|---|
Provider Name | James Gregory Nelson |
First Address | Morrisville, NC 27560-8442 |
Second Address | Rocky Mount, NC 27804-1410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 07/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7962087 | (05) | NC |
E96908 | (02) |