Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 2002-01532 | NC |
NPI | 1023076148 |
---|---|
Provider Name | Jennifer Calfee |
First Address | Atlanta, GA 31193-6857 |
Second Address | Wilmington, NC 28403-6022 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 26/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I08437 | (02) |