Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 5009537 | NC |
NPI | 1003337312 |
---|---|
Provider Name | Sheila A Munday |
First Address | Raleigh, NC 27612-5302 |
Second Address | Raleigh, NC 27612-5302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2017 |
Last Update Date | 16/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5009537 | NC STATE (01) | NC |