Doctor Name: | MR. ANDREW CARL BABCOCK |
NPI Number: | 1023219276 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 14155 |
Business Practice Address: | 590 Manning Dr Cb 7586 Chapel Hill, NC - 275997586 |
Business Phone Number: | 9199660210 |
Business Fax Number: | 9199666126 |
Mailing Address: | 590 Manning Drive, Cb 7586 CHAPEL HILL |
State: | NC |
Postal Code: | 275997586 |
Phone Number: | 9199663456 |
Fax Number: | 9199666126 |
NPI Enumeration Date: | 05/29/2007 |
NPI Last Update Date: | 02/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 14155 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |