Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 2006-00985 | NC |
NPI | 1356375968 |
---|---|
Provider Name | Saju Joy |
First Address | Charlotte, NC 28219-9305 |
Second Address | Charlotte, NC 28210-8413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 27/09/2021 |