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Gastroenterology Physician

NPI: 1457092181IndividualAccepts Medicare

Specialties, Licenses & Credentials

Internal Medicine — Gastroenterology

Code: 207RG0100X

2026-01795(NC)

Internal Medicine

Code: 207R00000X

102404(GA)

CMS Specialties

Education

OTHER

Class of 2021

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Contact & Hours

Via practice · 2 locations total

Address
1000 BLYTHE BLVD
CHARLOTTE, NC 28203

Quick Facts

NPI
1457092181
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
5

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