Organization
CHARLOTTE MINIMALLY INVASIVE SURGICAL ASSOCIATES PLLC
Active
Other names
THE CHARLOTTE COMPREHENSIVE WEIGHT MANAGEMENT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR K DANNER MD (PHYSICIAN OWNER)
(704) 940-0715
Entity
Organization
Contact information
Practice address
330 BILLINGSLEY ROAD, SUITE 210, CHARLOTTE, NC 28211
(704) 940-0715
(704) 940-0732
Mailing address
330 BILLINGSLEY ROAD, SUITE 210, CHARLOTTE, NC 28211
(704) 940-0715
(704) 940-0732
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901378
—
NC
Enumeration date
07/06/2006
Last updated
08/22/2020
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