Organization
CHARLOTTE RESTORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SEMEKO M.D. (PHYSICIAN)
(704) 617-2649
Entity
Organization
Contact information
Practice address
5970 FAIRVIEW RD, SUITE 215, CHARLOTTE, NC 28210-3167
(704) 617-2649
Mailing address
5970 FAIRVIEW RD, SUITE 215, CHARLOTTE, NC 28210-3167
(704) 617-2649
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
200400163
NC
Other
Enumeration date
12/25/2015
Last updated
12/25/2015
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