Individual
IGOR SHOROKHOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8516 DIANTHUS CT UNIT 204, CHARLOTTE, NC 28277-3989
(440) 313-9246
Mailing address
8516 DIANTHUS CT UNIT 204, CHARLOTTE, NC 28277-3989
(440) 313-9246
Taxonomy
Speciality
Code
Description
License number
State
347B00000X
Bus
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
07/21/2019
Last updated
07/21/2019
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