Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 0010-06324 | NC |
NPI | 1235537598 |
---|---|
Provider Name | Judith James |
First Address | Pinehurst, NC 28374-8710 |
Second Address | Pinehurst, NC 28374-8710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2014 |
Last Update Date | 28/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1235537598 | (05) | NC |