Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 0207 | NC |
NPI | 1174082614 |
---|---|
Provider Name | Jean-Pierre Marcel Albouy |
First Address | Chapel Hill, NC 27599-7450 |
Second Address | Chapel Hill, NC 27514-4220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2019 |
Last Update Date | 11/06/2019 |