Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 31355 | NC |
NPI | 1023034311 |
---|---|
Provider Name | Roland Pixley |
First Address | Charlotte, NC 28219-9305 |
Second Address | Charlotte, NC 28204-2963 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 05/01/2022 |