Individual
ABUBAKER SIDDIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2608 ALLEN RD S, CHARLOTTE, NC 28269-4606
(704) 488-3159
Mailing address
2608 ALLEN RD S, CHARLOTTE, NC 28269-4606
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
NC
347C00000X
Private Vehicle
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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