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Organization

VEIN CENTER OF CHARLOTTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES WITTEN ALTIZER MD, FACPH (PHYSICIAN/OWNER)
(704) 341-1122
Entity
Organization

Contact information

Practice address
10502 PARK RD, SUITE 120, CHARLOTTE, NC 28210-8479
(704) 341-1122
Mailing address
10502 PARK RD, SUITE 120, CHARLOTTE, NC 28210-8479
(704) 341-1122

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
9900407
NC

Other

Enumeration date
10/23/2007
Last updated
10/28/2013
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