Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 32702 | NC |
NPI | 1053381921 |
---|---|
Provider Name | Sue R Garwood |
First Address | Charlotte, NC 28260-2522 |
Second Address | New Bern, NC 28560-3449 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 06/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
34773 | BCBSNC (01) | NC |
4378353 | AETNA (01) | NC |
440004085 | RAILROAD MEDICARE (01) | NC |
5859 | PARTNERS MEDICARE CHOICE (01) | NC |
8934773 | (05) | NC |
C2464 | MEDCOST (01) | NC |
E45667 | (02) | NC |
EFF | CIGNA HEALTHCARE (01) | NC |