Individual
PAUL WITHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10648 PARK RD, CHARLOTTE, NC 28210-8407
(704) 355-9330
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2015-01320
NC
Other
Enumeration date
03/31/2011
Last updated
04/14/2022
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