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Organization
CAROLINA PHYSICAL MEDICINE PC
Active
Organization
CAROLINA PHYSICAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY HYSER DC (MANAGER)
(704) 800-7414
Entity
Organization
Contact information
Practice address
6911 SHANNON WILLOW RD, SUITE 500, CHARLOTTE, NC 28226-1346
(704) 800-7414
(704) 817-3390
Mailing address
6911 SHANNON WILLOW RD, SUITE 500, CHARLOTTE, NC 28226-1346
(704) 800-7414
(704) 817-3390
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/11/2017
Last updated
10/13/2017
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