Individual
FELIPE SEBASTIAN BAUTISTA OTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 HAWTHORNE LN STE 100, CHARLOTTE, NC 28204-2467
(704) 384-1900
(704) 384-1919
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
2021-00810
NC
2080P0207X
Pediatric Hematology & Oncology Physician
MD444093
PA
Other
Enumeration date
06/23/2008
Last updated
08/08/2023
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