Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 9800511 | NC |
NPI | 1083683650 |
---|---|
Provider Name | Margaret Rose Donohoe |
First Address | Elizabeth City, NC 27909-3365 |
Second Address | Elizabeth City, NC 27909-3365 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 31/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8911506 | (05) | NC |
C32371 | (02) | NC |