Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | 0010-09858 | NC |
NPI | 1154895423 |
---|---|
Provider Name | Mr. John Wainwright Mckeever |
First Address | Asheville, NC 28803-2068 |
Second Address | Durham, NC 27713-1869 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2019 |
Last Update Date | 28/01/2021 |