Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 6487273 | NY |
Y | 1223D0001X | Dental Public Health | 8878 | NC |
NPI | 1639329295 |
---|---|
Provider Name | Tameko Tompkins Sowell |
First Address | Gastonia, NC 28052-6430 |
Second Address | Gastonia, NC 28054-2192 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2008 |
Last Update Date | 24/02/2012 |