Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 2020-01171 | NC |
NPI | 1003254673 |
---|---|
Provider Name | Jennifer Beth Emberger |
First Address | Charlotte, NC 28275-1069 |
Second Address | Greenville, NC 27834-3775 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2013 |
Last Update Date | 03/12/2020 |