Individual
ELENA E VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6060 PIEDMONT ROW DR S STE 450, CHARLOTTE, NC 28287-3884
(704) 317-5990
Mailing address
3316 EASTBURN RD, CHARLOTTE, NC 28210-4704
(559) 341-9943
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2020-00744
NC
208600000X
Surgery Physician
25MB09520400
NJ
208600000X
Surgery Physician
271967
NY
Other
Enumeration date
03/06/2013
Last updated
04/04/2024
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