Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 2010-02043 | NC |
NPI | 1124229679 |
---|---|
Provider Name | Joshua Tennant |
First Address | Chapel Hill, NC 27599-7055 |
Second Address | Chapel Hill, NC 27599-7055 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 30/03/2021 |