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Individual

ROBERT BASIL GIEDRAITIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7825 BALLANTYNE COMMONS PKWY STE 150, CHARLOTTE, NC 28277-3175
(704) 544-6920
(704) 316-3061
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-3030
(704) 316-3025

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
36351
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8935466
NC
05
N36351
SC
Enumeration date
10/14/2005
Last updated
09/21/2023
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