Individual provider · NPI-1
Laura Kathleen Altom, M.D.
Colon & Rectal Surgery · Raleigh, NC
NPI number1144481409
StatusActive
Last updated in NPPESFeb 7, 2019
Details
- NPI
- 1144481409
- Entity type
- Individual (NPI-1)
- Name
- Laura Kathleen Altom
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2008
- Last updated
- Feb 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | 2016-00654 | NC | Yes |
| 208600000X | Surgery | MD.208045 | LA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | md.208045 | LA |
Practice location
2800 Blue Ridge Rd Ste 300Raleigh, NC 27607-6476
Phone 919-784-7874 · Fax 919-784-2708
Mailing address
2800 Blue Ridge Rd Ste 300Raleigh, NC 27607-6476
Phone 919-784-7874 · Fax 919-784-2708
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