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Physicians Obstetrics & Gynecology Gynecology

Provider NPI: 1518216118

Organization Information:
Organization is Subpart
Authorized Official:  DANIEL  GOODWIN  VICE-PRESIDENT  910-667-7597

Practice Location:
Tel: 910-763-9833  Fax: --

Business Mailing Address:
PO BOX 19305  CHARLOTTE, NC 28219-9305 US
Tel: 704-631-0002  Fax: --

NPI Information:
NPI: 1518216118
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Obstetrics & Gynecology
Obstetrics & Gynecology
Obstetrics & Gynecology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207V00000X





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