Individual
NATALIE LYNN NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1918 RANDOLPH RD STE 300, CHARLOTTE, NC 28207-1112
(704) 333-0741
(704) 333-3356
Mailing address
PO BOX 604350, CHARLOTTE, NC 28260-4350
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
100543
GA
208600000X
Surgery Physician
Primary
2017-01753
NC
208600000X
Surgery Physician
OT014673
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275893927
—
NC
Enumeration date
05/29/2012
Last updated
11/05/2025
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