Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 200600648 | NC |
N | 208000000X | Pediatrician | 200600648 | NC |
NPI | 1023209491 |
---|---|
Provider Name | Scott David Nash |
First Address | Raleigh, NC 27617-7884 |
Second Address | Raleigh, NC 27617-7884 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2007 |
Last Update Date | 04/02/2009 |