Basic Information
| Provider Information | |||||||||
| NPI: | 1124202114 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAW | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | RACHEL | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3341 MBRB CB 7039 | ||||||||
| Address2: | UNIVERSITY OF NORTH CAROLINA | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199664435 | ||||||||
| FaxNumber: | 9199662423 | ||||||||
| Practice Location | |||||||||
| Address1: | 3341 MBRB CB 7039 | ||||||||
| Address2: | UNIVERSITY OF NORTH CAROLINA | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275990001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199664435 | ||||||||
| FaxNumber: | 9199662423 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/26/2007 | ||||||||
| LastUpdateDate: | 08/14/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0205X | 2009-01115 | NC | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Endocrinology |
No ID Information.