Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 16865 | NC |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 16865 | NC |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 16865 | NC |
NPI | 1265533095 |
---|---|
Provider Name | Lowell Harley Gill |
First Address | Morrisville, NC 27560-8442 |
Second Address | Kinston, NC 28501-1584 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 10/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
204127 | (05) | SC |
8935521 | (05) | NC |
C84044 | (02) | NC |