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Organization
ADVANCED REGENERATIVE CARE OF CHARLOTTE, PLLC
Active
Organization
ADVANCED REGENERATIVE CARE OF CHARLOTTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KEAN DC (EXECUTIVE DIRECTOR)
(704) 841-0240
Entity
Organization
Contact information
Practice address
10734B MONROE RD, MATTHEWS, NC 28105-8397
(704) 841-0240
Mailing address
504 RED BANKS RD STE C, GREENVILLE, NC 27858-5766
(252) 321-3579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
04/02/2020
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