Individual
MRS. KERI ANNE SQUITTIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3006 BAUCOM RD, CHARLOTTE, NC 28269-6762
(704) 596-1787
(704) 596-6230
Mailing address
17039 KENTON DR, STE 100, CORNELIUS, NC 28031-5776
(704) 596-1787
(704) 596-6230
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-03191
NC
Other
Enumeration date
10/20/2011
Last updated
02/14/2017
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