Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 51309 | NC |
NPI | 1023623113 |
---|---|
Provider Name | Yoon Chi |
First Address | Chapel Hill, NC 27599-7450 |
Second Address | Chapel Hill, NC 27599-7450 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2020 |
Last Update Date | 15/09/2020 |