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Individual

BARRY L GOLEMBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4501 CAMERON VALLEY PKWY, SUITE 100, CHARLOTTE, NC 28211-4297
(704) 367-7400
(704) 367-7555
Mailing address
PO BOX 602120, CHARLOTTE, NC 28260-2120
(704) 367-7400
(704) 367-7555

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23547
NC
2080P0207X
Pediatric Hematology & Oncology Physician
23547
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1326062761
NC
05
181457
SC
01
36143
NCBCBS
NC
05
8936143
NC
Enumeration date
07/27/2006
Last updated
12/06/2016
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