Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 2011-00969 | NC |
NPI | 1053310383 |
---|---|
Provider Name | James W. Lin |
First Address | Greensboro, NC 27405-3654 |
Second Address | Greensboro, NC 27405-3654 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 20/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1053310383 | (05) | NC |
I55350 | (02) | TX |