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Individual

MANUEL CACERES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200, CHARLOTTE, NC 28203-5866
(704) 381-8840
Mailing address
1001 BLYTHE BLVD, CHARLOTTE, NC 28203-5866

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200400193
NC

Other

Enumeration date
04/10/2006
Last updated
02/12/2019
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