Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 36037 | NC |
NPI | 1053355008 |
---|---|
Provider Name | Victor Wilson Sears |
First Address | Winston-Salem, NC 27103-5663 |
Second Address | Winston-Salem, NC 27103-5663 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 14/09/2011 |