Individual
PRIOTY ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MEDICAL PARK DR, STE 110, CONCORD, NC 28025-2948
(704) 403-1370
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021-01043
NC
Other
Enumeration date
04/06/2015
Last updated
09/27/2021
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