Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | RFM00958 | DE |
NPI | 1346476298 |
---|---|
Provider Name | Mrs. Cami Lockhart Dotson |
First Address | Lynn, NC 28750-0039 |
Second Address | Columbus, NC 28722 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2009 |
Last Update Date | 05/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7795270 | (05) | NC |