Individual
DR. HYTHAM M IMSEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1718 E 4TH ST, SUITE 404, CHARLOTTE, NC 28204-3261
(704) 384-5701
(704) 384-5642
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-5701
(704) 384-5642
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
97-00291
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891058Q
—
NC
05
—
Q00291
—
SC
Enumeration date
09/12/2006
Last updated
10/25/2020
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