Organization
METROLINA WOMEN'S BREAST CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURENE C MANN MD (PRESIDENT)
(704) 365-8801
Entity
Organization
Contact information
Practice address
439 N WENDOVER ROAD, CHARLOTTE, NC 28211
(704) 365-8801
(704) 365-9833
Mailing address
439 N WENDOVER ROAD, CHARLOTTE, NC 28211
(704) 365-8801
(704) 365-9833
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
795388
—
NC
Enumeration date
11/09/2006
Last updated
08/22/2020
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