Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 2010-01354 | NC |
NPI | 1174588222 |
---|---|
Provider Name | John B. Hipps |
First Address | Morrisville, NC 27560-8442 |
Second Address | Sanford, NC 27330-4159 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 10/05/2021 |