Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 134497 | NC |
NPI | 1003095001 |
---|---|
Provider Name | Sarah Owrey |
First Address | Raleigh, NC 27607-6478 |
Second Address | Raleigh, NC 27607-6478 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2007 |
Last Update Date | 29/09/2009 |