Doctor Name: | DR. DANIEL L GOTTSEGEN |
NPI Number: | 1144333576 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 18453 |
Business Practice Address: | 719 Green Valley Road Suite 305 Greensboro, NC - 27408 |
Business Phone Number: | 3362755391 |
Business Fax Number: | 3362754702 |
Mailing Address: | 719 Green Valley Road, Suite 305 GREENSBORO |
State: | NC |
Postal Code: | 27408 |
Phone Number: | 3362755391 |
Fax Number: | 3362754702 |
NPI Enumeration Date: | 08/17/2006 |
NPI Last Update Date: | 11/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 18453 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |