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Organization
CAROLINA ENDOVASCULAR AND INTERVENTIONAL PLLC
Active
Organization
CAROLINA ENDOVASCULAR AND INTERVENTIONAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER O SIMON JR. MD (MEMBER/ORGANIZER)
(704) 705-8602
Entity
Organization
Contact information
Practice address
6060 PIEDMONT ROW DR S STE 200, CHARLOTTE, NC 28287-3888
(704) 705-8602
(877) 531-1009
Mailing address
6060 PIEDMONT ROW DR S STE 200, CHARLOTTE, NC 28287-3888
(704) 705-8602
(877) 682-4705
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
06/08/2026
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