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Organization
SOUTHEAST RADIOLOGY ASSOCIATES PLLC
Active
Organization
SOUTHEAST RADIOLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LOZEVSKI MD (MBR)
(704) 345-0789
Entity
Organization
Contact information
Practice address
10926 DAVID TAYLOR DR STE 120, CHARLOTTE, NC 28262-1042
(704) 345-0789
Mailing address
10926 DAVID TAYLOR DR STE 120, CHARLOTTE, NC 28262-1042
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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