NPI 1073697553

Southeast Renal Associates PA

Organisation Specialist Charlotte, NC

Practice location

Address: 2301 W Morehead St, Charlotte, NC 28208-5178
Phone: (704) 333-4217
Fax: (704) 927-1767

Authorised official

Name: Jennifer Huneycutt
Title: Practice Administrator
Phone: (704) 927-1755

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in North Carolina →

Registry record

NPI: 1073697553
Entity type: Organization
NPI issued: 24 Oct 2006
Record last updated: 20 Apr 2008

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.