Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 2007-01871 | NC |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 2007-01871 | NC |
NPI | 1750380549 |
---|---|
Provider Name | William E Porter |
First Address | Charlotte, NC 28260-0447 |
Second Address | Charlotte, NC 28210-3271 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 19/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5910377 | (05) | NC |
NC1044 | (05) | SC |