| Centrum Medical Group Of North Carolina Pllc | |
|
10320 Mallard Creek Rd Ste 180 Charlotte NC 28262-5204 | |
| (305) 266-2929 | |
| Not Available |
| Full Name | Centrum Medical Group Of North Carolina Pllc |
|---|---|
| Speciality | General Practice |
| Location | 10320 Mallard Creek Rd Ste 180, Charlotte, North Carolina |
| Authorized Official Name and Position | Graciela Victorero (COO) |
| Authorized Official Contact | 3052662929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centrum Medical Group Of North Carolina Pllc 9250 Nw 36th St Ste 420 Doral FL 33178-2775 Ph: (305) 266-2929 | Centrum Medical Group Of North Carolina Pllc 10320 Mallard Creek Rd Ste 180 Charlotte NC 28262-5204 Ph: (305) 266-2929 |
| NPI Number | 1063154375 |
|---|---|
| Provider Enumeration Date | 04/08/2022 |
| Last Update Date | 04/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063154375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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