Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 201100657 | NC |
NPI | 1134123888 |
---|---|
Provider Name | Ralph Carter Bobbitt JR. |
First Address | Huntersville, NC 28078-3221 |
Second Address | Mooresville, NC 28117-5966 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2005 |
Last Update Date | 11/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I13462 | (02) | OH |