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Individual

DR. KIM RITA BLUMBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 749-5800
(704) 749-5819
Mailing address
200 PROVIDENCE RD, STE. 101, CHARLOTTE, NC 28207-1468
(704) 749-5800
(704) 749-5819

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01058708A
IN
207L00000X
Anesthesiology Physician
Primary
2010-01959
NC

Other

Enumeration date
03/14/2006
Last updated
03/22/2012
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