Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 200700763 | NC |
NPI | 1013045921 |
---|---|
Provider Name | Nicole Bernice Hight |
First Address | Charlotte, NC 28260-1372 |
Second Address | Charlotte, NC 28226-3363 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2007 |
Last Update Date | 13/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013045921 | (05) | NC |
5906707 | (05) | NC |
N0076F | (05) | SC |