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Individual

DR. ALEJANDRO FERNANDEZ-TATUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 VAIL AVE, SUITE 320, CHARLOTTE, NC 28207-1248
(704) 333-0741
(704) 333-3356
Mailing address
1918 RANDOLPH RD, SUITE 130, CHARLOTTE, NC 28207-1100
(704) 364-8100
(704) 365-2073

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
127323
NC
208600000X
Surgery Physician
Primary
2012-01497
NC
208600000X
Surgery Physician
40515
SC

Other

Enumeration date
03/01/2007
Last updated
04/28/2017
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