Individual
DR. PETER MICHAEL GIFTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 E 7TH ST, SUITE 100, CHARLOTTE, NC 28204-4375
(704) 384-8800
(704) 384-8819
Mailing address
1900 RANDOLPH RD, SUITE 500, CHARLOTTE, NC 28207-1122
(704) 384-9113
(704) 316-0508
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20010038
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891313M
—
NC
Enumeration date
09/20/2005
Last updated
05/19/2023
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