Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | RFO0213 | NC |
NPI | 1932164423 |
---|---|
Provider Name | Mr. David C Savoy |
First Address | Eliz City, NC 27909 |
Second Address | Eliz City, NC 27909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0482P | BCBS (01) | NC |
384410 | BCBS (01) | VA |
7701327 | (05) | NC |
7795162 | UNDIVID EDS (01) | |
9190511 | (05) | VA |