Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2018-00353 | NC |
N | 111NI0900X | Internist | 2018-00353 | NC |
Y | 207RH0002X | Hospice and Palliative Medicine | 2018-00353 | NC |
NPI | 1154697662 |
---|---|
Provider Name | Joshua Briscoe |
First Address | Durham, NC 27705-3875 |
Second Address | Durham, NC 27705-3875 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2012 |
Last Update Date | 10/02/2021 |