Individual
DR. CHARITA YIANGOPOULLOU CSIKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
612 JEFFERSON ST, SUITE 28, WHITEVILLE, NC 28472-3708
(910) 640-4064
(910) 640-4063
Mailing address
PO BOX 602530, CHARLOTTE, NC 28260-2530
(910) 640-4064
(910) 640-4063
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2013-01180
NC
208000000X
Pediatrics Physician
25MA07792700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194773937
—
NC
05
—
NC2010
—
SC
Enumeration date
05/04/2006
Last updated
04/22/2014
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