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Organization

CENTRUM MEDICAL GROUP OF NORTH CAROLINA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRACIELA VICTORERO (COO)
(305) 266-2929
Entity
Organization

Contact information

Practice address
10320 MALLARD CREEK RD STE 180, CHARLOTTE, NC 28262-5204
(305) 266-2929
Mailing address
9250 NW 36TH ST STE 420, DORAL, FL 33178-2775
(305) 266-2929

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
04/08/2022
Last updated
04/08/2022
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