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Individual

MALICK VALERY BACHABI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
354 COPPERFIELD BLVD NE, CONCORD, NC 28025-2402
(704) 786-5122
(704) 782-8279
Mailing address
4601 PARK RD STE 250, CHARLOTTE, NC 28209-2373
(704) 323-2000

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2018-00490
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0397730024
NSC #
NC
05
1518212679
NC
05
NC3380
SC
Enumeration date
07/16/2012
Last updated
08/02/2019
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