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Individual

KIRK L CHARLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3000 NEW BERN AVE STE 1130, RALEIGH, NC 27610-1245
(919) 350-7600
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2006-01485
NC
2086S0129X
Vascular Surgery Physician
Primary
200601485
NC
2086S0129X
Vascular Surgery Physician
D0062370
MD

Other

Enumeration date
07/21/2006
Last updated
11/20/2024
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