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Organization · Geriatric Psychiatry Physician · Charlotte, NC

NPI
1912338328
Type
Organization (Type 2)
Primary specialty
Geriatric Psychiatry Physician (Psychiatry & Neurology)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
2084P0805X
License number
2011-00546 (NC)
Enumerated
2013-12-11
Last updated
2018-03-14
Practice location
10130 Perimeter Pkwy, Suite 200
Charlotte, NC 28216-2447
(888) 849-7379

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