Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 39872 | NC |
NPI | 1083651319 |
---|---|
Provider Name | John W Ringwood |
First Address | Charlotte, NC 28207-1106 |
Second Address | Charlotte, NC 28207-1106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 25/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
134M2 | BCBSNC (01) | NC |
165724 | (05) | SC |
89-134M3 | (05) | NC |
C98900 | (02) | |
P00040098 | RR MEDICARE (01) | NC |