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BRENT DOUGLAS PENHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
106 LANGTREE VILLAGE DR STE 200, MOORESVILLE, NC 28117
(704) 384-7101
(704) 384-7102
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009-01914
NC

Other

Enumeration date
08/08/2007
Last updated
04/26/2023
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