Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | L5012 | TX |
N | 111NI0900X | Internist | L5012 | TX |
N | 207RH0000X | Hematologist | L5012 | TX |
N | 207RH0003X | Hematology & Oncology | 31619 | SC |
Y | 207RX0202X | Medical Oncology | 31619 | SC |
NPI | 1144402942 |
---|---|
Provider Name | Mrs. Rita K Kramer |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-8908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2007 |
Last Update Date | 11/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C66307 | (02) | TX |