Individual
DR. JACQUES GANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1718 E 4TH ST, SUITE 807, CHARLOTTE, NC 28204-3260
(704) 375-5755
(704) 335-3380
Mailing address
1718 E 4TH ST, SUITE 807, CHARLOTTE, NC 28204-3260
(704) 375-5755
(704) 335-3380
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9800540
NC
208800000X
Urology Physician
Primary
2254900
NC
Other
Enumeration date
06/08/2006
Last updated
08/05/2013
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