Individual
DR. KENT SEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1421 ORCHARD LAKE DRIVE, SUITE C, CHARLOTTE, NC 28270
(704) 844-0181
(904) 701-6279
Mailing address
1421 ORCHARD LAKE DRIVE, SUITE C, CHARLOTTE, NC 28270
(704) 844-0181
(904) 701-6279
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
ME0051124
FL
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
2009-00067
NC
208D00000X
General Practice Physician
2009-00067
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266406200
—
FL
05
—
5914829
—
NC
Enumeration date
08/02/2006
Last updated
02/24/2016
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