Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 2011-00697 | NC |
N | 2080P0208X | Pediatric Infectious Diseases | 231299 | MA |
NPI | 1356531487 |
---|---|
Provider Name | Sallie R Permar |
First Address | Durham, NC 27713-4430 |
Second Address | Durham, NC 27705-3941 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 03/06/2011 |