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Dr. Val Pierre Vallat, MD
Specialist in Charlotte, North Carolina
NPI 1912011735

Val Pierre Vallat is a Specialist based in Charlotte, NC. Val Pierre Vallat practices in Charlotte, NC and has the professional credentials of MD. The NPI Number for Val Pierre Vallat is 1912011735 and holds a License No. 00758 (North Carolina).

The current practice location address for Val Pierre Vallat is 3006 Baucom Rd, Charlotte, NC and can be reached out via phone at 704-596-1787 and via fax at 704-596-6230.

Location: 3006 Baucom Rd, Charlotte, NC, 28269-6762
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912011735
Provider Name
Val Pierre Vallat
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3006 Baucom Rd, Charlotte, NC, 28269-6762
Phone Number
704-596-1787
Fax Number
704-596-6230
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0179T 01 NC BLUE CROSS BLUE SHIELD ID
institution
Provider Business Practice Location Address Details
Address
3006 Baucom Rd
City
Charlotte
State
North Carolina
Zip
28269-6762
Phone Number
704-596-1787
Fax Number
704-596-6230
person
Provider Business Mailing Address Details
Address
3006 Baucom Rd
City
Charlotte
State
North Carolina
Zip
28269-6762
Phone Number
704-596-1787
Fax Number
704-596-6230
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
00758 (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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