Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1053899625 |
---|---|
Provider Name | Richard Austin Mcphail |
First Address | Greenville, NC 27834-7247 |
Second Address | Greenville, NC 27858-5868 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2018 |
Last Update Date | 05/08/2018 |