Individual
MS. MICHELLE ALMODOVAR BALMACEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9600 E INDEPENDENCE BLVD, MATTHEWS, NC 28105-4628
(704) 384-8441
(704) 384-8442
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(704) 384-8441
(704) 384-8442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016-01789
NC
207Q00000X
Family Medicine Physician
34762
SC
Other
Enumeration date
06/19/2009
Last updated
08/11/2021
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