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Southeast Renal Associates Pa
Specialist in Charlotte, North Carolina
NPI 1073697553

Southeast Renal Associates Pa is a Specialist based in Charlotte, NC. Southeast Renal Associates Pa practices in Charlotte, NC. The NPI Number for Southeast Renal Associates Pa is 1073697553 and holds a License No. (North Carolina).

The current practice location address for Southeast Renal Associates Pa is 2301 W Morehead St, Charlotte, NC and can be reached out via phone at 704-333-4217 and via fax at 704-927-1767.

Location: 2301 W Morehead St, Charlotte, NC, 28208-5178
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073697553
Provider Name
Southeast Renal Associates Pa
Credential
Provider Entity Type
Organization
Address
2301 W Morehead St, Charlotte, NC, 28208-5178
Phone Number
704-333-4217
Fax Number
704-927-1767
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0109V 01 NC BCBS OF NC
NPA650 05 SC
890109V 05 NC
institution
Provider Business Practice Location Address Details
Address
2301 W Morehead St
City
Charlotte
State
North Carolina
Zip
28208-5178
Phone Number
704-333-4217
Fax Number
704-927-1767
person
Provider Business Mailing Address Details
Address
2301 W Morehead St
City
Charlotte
State
North Carolina
Zip
28208-5178
Phone Number
704-333-4217
Fax Number
704-927-1767
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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