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Organization

DYNAMICHEALTH2YOU, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID SMITH MD (PRESIDENT)
(704) 525-6288
Entity
Organization

Contact information

Practice address
4707 SOUTH BLVD, CHARLOTTE, NC 28217-2117
(704) 525-6288
Mailing address
4707 SOUTH BLVD, CHARLOTTE, NC 28217-2117
(704) 525-6288

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000
NONE
Enumeration date
12/21/2018
Last updated
12/21/2018
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