Individual
DR. JAMES N. ANTEZANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10512 PARK RD STE 111, CHARLOTTE, NC 28210-8469
(704) 910-8380
(704) 817-9980
Mailing address
10512 PARK RD, STE. 111, CHARLOTTE, NC 28210-8475
(704) 910-8380
(704) 973-0737
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2009-00158
NC
2086S0129X
Vascular Surgery Physician
Primary
2009-00158
NC
Other
Enumeration date
05/24/2006
Last updated
07/30/2019
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