Organization
MARTIMBEAU GYNECOLOGIC ONCOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIERRE W MARTIMBEAU MD (MD PRESIDENT)
(704) 334-8644
Entity
Organization
Contact information
Practice address
330 BILLINGSLEY RD, STE 202, CHARLOTTE, NC 28211
(704) 334-8644
(704) 358-1466
Mailing address
330 BILLINGSLEY RD, STE 202, CHARLOTTE, NC 28211
(704) 334-8644
(704) 358-1466
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
24267
NC
207VX0201X
Gynecologic Oncology Physician
24267
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02093
BLUE CROSS
NC
05
—
8902093
—
NC
05
—
8954121
—
NC
Enumeration date
06/13/2006
Last updated
09/11/2025
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