Individual
RAFAEL NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CMC ANNEX 1ST FLOOR, CHARLOTTE, NC 28203-5812
(704) 355-0720
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2013-01102
NC
Other
Enumeration date
02/21/2012
Last updated
01/15/2020
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