=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245235951
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DANIEL LOWELL DROTTS M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/17/2005
-----------------------------------------------------
Last Update Date | 06/05/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2604 MEDICAL OFFICE PL
-----------------------------------------------------
City | GOLDSBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27534-9417
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-580-0004
-----------------------------------------------------
Fax | 919-580-9099
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2604 MEDICAL OFFICE PL
-----------------------------------------------------
City | GOLDSBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27534-9417
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-580-0004
-----------------------------------------------------
Fax | 919-580-9099
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207P00000X
-----------------------------------------------------
Taxonomy Name | Emergency Medicine Physician
-----------------------------------------------------
License Number | 200100138
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207PE0004X
-----------------------------------------------------
Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
-----------------------------------------------------
License Number | 200100138
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------