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Southeast Bariatrics
Specialist in Charlotte, North Carolina
NPI 1669502647

Southeast Bariatrics is a Specialist based in Charlotte, NC. Southeast Bariatrics practices in Charlotte, NC. The NPI Number for Southeast Bariatrics is 1669502647 and holds a License No. (North Carolina).

The current practice location address for Southeast Bariatrics is 2300 Randolph Rd Ste A, Charlotte, NC and can be reached out via phone at 704-347-4144 and via fax at 704-347-4148.

Location: 2300 Randolph Rd Ste A, Charlotte, NC, 28207-1586
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669502647
Provider Name
Southeast Bariatrics
Credential
Provider Entity Type
Organization
Address
2300 Randolph Rd Ste A, Charlotte, NC, 28207-1586
Phone Number
704-347-4144
Fax Number
704-347-4148
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
132GX 01 NC BCBS
89132GX 05 NC
institution
Provider Business Practice Location Address Details
Address
2300 Randolph Rd Ste A
City
Charlotte
State
North Carolina
Zip
28207-1586
Phone Number
704-347-4144
Fax Number
704-347-4148
person
Provider Business Mailing Address Details
Address
2300 Randolph Rd Ste A
City
Charlotte
State
North Carolina
Zip
28207-1586
Phone Number
704-347-4144
Fax Number
704-347-4148
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(North Carolina)
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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