Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 17350 | NC |
NPI | 1003890062 |
---|---|
Provider Name | Jane Meschan Foy |
First Address | Winston Salem, NC 27102-0344 |
Second Address | Winston Salem, NC 27157-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2005 |
Last Update Date | 07/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2007304000 | (05) | WV |
2072 | PARTNERS (01) | |
23913 | MEDCOST (01) | |
33358 | BCBS (01) | |
7725781 | AETNA (01) | |
8933358 | (05) | NC |
9998934 | (05) | VA |
F44054 | (02) | |
Q17350 | (05) | SC |