Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 20342 | NC |
N | 207QS0010X | Family Doctor - Sports Medicine | 20342 | NC |
Y | 207QS0010X | Family Doctor - Sports Medicine | 39438 | NC |
NPI | 1013951003 |
---|---|
Provider Name | James S Kramer |
First Address | Greensboro, NC 27401-1008 |
Second Address | Greensboro, NC 27401-1008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 10/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
895031A | (05) | NC |
E61363 | (02) |