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Organization
WILLIAM GEORGE KATIBAH III
Active
Organization
WILLIAM GEORGE KATIBAH III
Active
Other names
Mallard Creek Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM GEORGE KATIBAH III M.D. (OWNER)
(704) 547-9500
Entity
Organization
Contact information
Practice address
10320 MALLARD CREEK RD, SUITE 100, CHARLOTTE, NC 28262-9756
(704) 547-9500
(704) 547-9515
Mailing address
10320 MALLARD CREEK RD, SUITE 100, CHARLOTTE, NC 28262-5204
(704) 547-9500
(704) 547-9515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
02/22/2008
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