Individual
DR. JANCY F UTOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
644 CLARK DR, LINCOLNTON, NC 28092-3714
(980) 212-2680
(980) 212-2690
Mailing address
6801 SOUTH BLVD STE D&E, CHARLOTTE, NC 28217-4458
(704) 451-9679
(704) 643-7295
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2005-01936
NC
208000000X
Pediatrics Physician
SC28391
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283912
—
SC
05
—
5902894
—
NC
Enumeration date
08/13/2006
Last updated
06/12/2020
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