Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 2016-00830 | NC |
NPI | 1104142355 |
---|---|
Provider Name | Nydia Mccrohan |
First Address | Charlotte, NC 28219-9305 |
Second Address | Charlotte, NC 28210-8407 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2010 |
Last Update Date | 05/01/2022 |