Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2018-02448 | NC |
N | 111NI0900X | Internist | 2018-02448 | NC |
Y | 207RG0300X | Geriatric Medicine | 2018-02448 | NC |
NPI | 1114311966 |
---|---|
Provider Name | Sara Minai Movaghar |
First Address | Morganton, NC 28655-5123 |
Second Address | Morganton, NC 28655-5123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2015 |
Last Update Date | 20/08/2019 |