Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 9500574 | NC |
N | 2080A0000X | Adolescent Medicine | 9500574 | NC |
NPI | 1225092265 |
---|---|
Provider Name | Robert J Ferrall |
First Address | Cary, NC 27511-6130 |
Second Address | Cary, NC 27511-6130 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8931632 | (05) | NC |
G06453 | (02) | NC |