Individual
DR. CALLI KAGE WIRSING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3129 SPRINGBANK LN STE 100, CHARLOTTE, NC 28226-3379
(704) 384-5151
(704) 316-2905
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2011-01110
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457502809
—
NC
05
—
5918480
—
NC
05
—
NC1467
—
SC
Enumeration date
10/03/2008
Last updated
05/06/2022
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