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ANDREA ROSE CORPUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5501 EXECUTIVE CENTER DR STE 215, CHARLOTTE, NC 28212-8823
(980) 613-8312
Mailing address
7617 GRAYLING CT, CHARLOTTE, NC 28227-1200
(423) 360-5246

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10924
NC

Other

Enumeration date
08/19/2020
Last updated
08/24/2021
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