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Physicians Orthopaedic Surgery Hand Surgery

Provider NPI: 1679556096

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 704-323-2000  Fax: --

Business Mailing Address:
4601 PARK RD STE 300 CHARLOTTE, NC 28209-3239 US
Tel: 704-323-2000  Fax: --

NPI Information:
NPI: 1679556096
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Orthopaedic Surgery
Hand Surgery
Orthopaedic Surgery

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207X00000X





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