Individual
DR. CHARLES ALBERT WITHERS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10826 MALLARD CREEK RD STE 100, CHARLOTTE, NC 28262-7785
(704) 774-3044
(704) 774-3045
Mailing address
10826 MALLARD CREEK RD STE 100, CHARLOTTE, NC 28262-7785
(704) 774-3044
(704) 774-3045
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
150029
NC
207RR0500X
Rheumatology Physician
Primary
2013-01881
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598928202
—
NC
Enumeration date
07/03/2008
Last updated
01/11/2021
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