Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35617 | NC |
NPI | 1013963446 |
---|---|
Provider Name | James L. Comadoll |
First Address | Charlotte, NC 28260-2362 |
Second Address | Salisbury, NC 28144-6253 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 25/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8923851 | (05) | NC |
F35051 | (02) |