Organization
KENT SEITZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT SEITZ M.D. (OWNER/PRESIDENT)
(704) 844-0181
Entity
Organization
Contact information
Practice address
1421 ORCHARD LAKE DRIVE, SUITE C, CHARLOTTE, NC 28270-9998
(704) 844-0181
(904) 701-6279
Mailing address
1421 ORCHARD LAKE DRIVE, SUITE C, CHARLOTTE, NC 28270-9998
(704) 844-0181
(904) 701-6279
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914829
—
NC
Enumeration date
12/06/2010
Last updated
09/11/2015
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