Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | CPO02333 | NC |
N | 222Z00000X | Podiatrist | CPO02333 | NC |
Y | 224P00000X | Prosthetist | CPO02333 | NC |
NPI | 1245339019 |
---|---|
Provider Name | Mr. Jason Samuel Mcnaughten |
First Address | Fayetteville, NC 28304 |
Second Address | Fayetteville, NC 28304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 26/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7795107 | (05) | NC |