Individual
DR. MICHELLE LORRAINE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3623 LATROBE DR, SUITE 216, CHARLOTTE, NC 28211-4864
(704) 332-1291
(704) 332-5206
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(704) 332-1291
(704) 332-5206
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
28521
SC
2085R0202X
Diagnostic Radiology Physician
Primary
9700729
NC
Other
Enumeration date
02/25/2008
Last updated
01/28/2014
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