Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101243268 | VA |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 31579 | SC |
NPI | 1245402924 |
---|---|
Provider Name | Peter N Ramsey |
First Address | Conway, SC 29526-8964 |
Second Address | Conway, SC 29526-8964 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2008 |
Last Update Date | 20/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0101243268 | STATE LICENSE (01) | VA |
315796 | (05) | SC |
AA37793850 | (02) | SC |