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Organization

CELESTE BRAIN HEALTH PLLC

Active
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Organization

CELESTE BRAIN HEALTH PLLC

Active
Other names
Celeste Neurology
Organization subpart
No

Provider details

NPI number
Authorized official
SUMUL MODI (OWNER/PARTNER)
(984) 777-9940
Entity
Organization

Contact information

Practice address
5500 EXECUTIVE CENTER DR STE 206, CHARLOTTE, NC 28212-8864
(984) 777-9940
(877) 794-5929
Mailing address
5500 EXECUTIVE CENTER DR STE 206, CHARLOTTE, NC 28212-8864
(984) 777-9940
(877) 794-5929

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
07/18/2022
Last updated
12/02/2023
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