Organization
CHARLOTTE TRAUMA SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CHARLES MONSON II M.D. (REGESTERED AGENT)
(704) 998-2162
Entity
Organization
Contact information
Practice address
1918 RANDOLPH RD, SUITE 130, CHARLOTTE, NC 28207-1100
(704) 364-8100
(704) 365-2073
Mailing address
1918 RANDOLPH RD, SUITE 130, CHARLOTTE, NC 28207-1100
(704) 364-8100
(704) 365-2073
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
86420
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790298J
—
NC
Enumeration date
12/15/2005
Last updated
10/18/2007
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