Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 32980 | NC |
Y | 208600000X | Surgeon | 32980 | NC |
N | 2082S0105X | Plastic Hand Surgeon | 32980 | NC |
NPI | 1710962766 |
---|---|
Provider Name | Louis C Argenta |
First Address | Winston Salem, NC 27102-0344 |
Second Address | Winston Salem, NC 27157 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2005 |
Last Update Date | 15/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11706 | BCBS OF NC (01) | |
2696 | PARTNERS (01) | |
3002692000 | (05) | WV |
33369 | MEDCOST (01) | |
4479237 | AETNA (01) | |
6923801 | (05) | VA |
8911706 | (05) | NC |
A79553 | (02) | |
Q32980 | (05) | SC |