Individual
MR. THEODORE T NYAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2215 RANDOLPH ROAD, CHARLOTTE, NC 28207
(704) 372-6846
(704) 342-0752
Mailing address
2215 RANDOLPH ROAD, CHARLOTTE, NC 28207
(704) 372-6846
(704) 342-0752
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2015-01420
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2009
Last updated
08/24/2018
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