Organization
NORTH CHARLOTTE FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN SEWANYANA M.D. (M.D./OWNER)
(704) 392-4108
Entity
Organization
Contact information
Practice address
2801 CRISMAN ST, CHARLOTTE, NC 28208-3847
(704) 392-4108
(704) 392-4109
Mailing address
2801 CRISMAN ST, CHARLOTTE, NC 28208-3847
(704) 392-4108
(704) 392-4109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200500253
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914149
—
NC
Enumeration date
03/16/2010
Last updated
07/19/2010
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