Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 20245 | NC |
NPI | 1023195930 |
---|---|
Provider Name | John F Carr |
First Address | Durham, NC 27707-5084 |
Second Address | Durham, NC 27707-5084 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |