Individual
KERTRINA SURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6040 PROVIDENCE RD, CHARLOTTE, NC 28226-6822
(704) 713-2444
Mailing address
6040 PROVIDENCE RD, CHARLOTTE, NC 28226-6822
(704) 713-2444
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/11/2026
Last updated
04/11/2026
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