Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 2012-01677 | NC |
NPI | 1093711160 |
---|---|
Provider Name | Walter B Guthrie |
First Address | Morganton, NC 28655-4218 |
Second Address | Morganton, NC 28655-4218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2005 |
Last Update Date | 22/01/2013 |