Individual
DAVID JERRET PUBANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4501 CAMERON VALLEY PKWY, STE 200-B, CHARLOTTE, NC 28211-4297
(704) 381-0500
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2009-00634
NC
208M00000X
Hospitalist Physician
2009-00634
NC
Other
Enumeration date
03/01/2007
Last updated
07/15/2024
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