Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 34993 | NC |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 34993 | NC |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 34993 | NC |
NPI | 1033166954 |
---|---|
Provider Name | Peter T Hurley |
First Address | Charlotte, NC 28209-3239 |
Second Address | Hickory, NC 28602-1363 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 02/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
89415091 | (05) | NC |
BH3031286 | DEA NUMBER (01) | NC |
F33075 | (02) | NC |