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NPI Code Detail

MEDICARE: DR. ANITA JOTHY M.D.

MEDICARE: DR. ANITA JOTHY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
22084P0800XPsychiatry Physician2020-01122NC

General Provider Information

NPI Number : 1316268626
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANITA JOTHY M.D.
Provider Business Mailing Address
First Line : 5003 S MIAMI BLVD STE 300
Second Line :
City : DURHAM
State : NC
Zip : 27703-8589
Country : US
Telephone Number : 919-354-0840
Fax Number : 877-840-6694
Provider Business Practice Location Address
First Line : 6060 PIEDMONT ROW DR S STE 500
Second Line :
City : CHARLOTTE
State : NC
Zip : 28287-3803
Country : US
Telephone Number : 980-326-3277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2010
Last Update Date : 03/01/2021

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