Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | CFO02659 | NC |
N | 222Z00000X | Podiatrist | CFO02659 | NC |
N | 213E00000X | Podiatrist | CPED0881 | NC |
N | 222Z00000X | Podiatrist | CPED0881 | NC |
Y | 225000000X | Orthotic Fitter | CFO02659 | NC |
N | 225000000X | Orthotic Fitter | CPED0881 | NC |
NPI | 1841434248 |
---|---|
Provider Name | Ms. Cynthia Henry Jarman |
First Address | Albemarle, NC 28001-3317 |
Second Address | Albemarle, NC 28001-3317 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2009 |
Last Update Date | 23/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7795170 | (05) | NC |
7795204 | (05) | NC |