Basic Information
Provider Information
NPI: 1588632186
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NORTH
FirstName: JAMES
MiddleName: HUGH
NamePrefix: DR.
NameSuffix: JR.
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 MEDICAL PARK DR STE 400
Address2:  
City: CONCORD
State: NC
PostalCode: 280250906
CountryCode: US
TelephoneNumber: 7047861108
FaxNumber:  
Practice Location
Address1: 200 MEDICAL PARK DR
Address2: SUITE 400
City: CONCORD
State: NC
PostalCode: 280252982
CountryCode: US
TelephoneNumber: 7047861108
FaxNumber: 7047821826
Other Information
ProviderEnumerationDate: 03/09/2006
LastUpdateDate: 01/17/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086X0206X057406GAN Allopathic & Osteopathic PhysiciansSurgerySurgical Oncology
2086X0206X2006-00306NCY Allopathic & Osteopathic PhysiciansSurgerySurgical Oncology

No ID Information.


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