NPI 1063154375

Centrum Medical Group of North Carolina PLLC

Organisation General Practice Physician Charlotte, NC

Practice location

Address: 10320 Mallard Creek Rd STE 180, Charlotte, NC 28262-5204
Phone: (305) 266-2929
Mailing address: 9250 NW 36th St STE 420, Doral, FL 33178-2775

Authorised official

Name: Graciela Victorero
Title: Coo
Phone: (305) 266-2929

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in North Carolina →

Registry record

NPI: 1063154375
Entity type: Organization
NPI issued: 8 Apr 2022
Record last updated: 8 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.