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Individual

MR. CHARLES WESLEY MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ANP

Contact information

Practice address
101 CABARRUS AVE E, CONCORD, NC 28025-3699
(888) 849-7379
(855) 857-7333
Mailing address
101 CABARRUS AVE E, CONCORD, NC 28025-3699
(888) 849-7379
(855) 857-7333

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
900364
NC
363LA2200X
Adult Health Nurse Practitioner
111952
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00461770
RAILROAD MEDICARE
NC
Enumeration date
10/23/2006
Last updated
04/08/2020
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