Individual
DR. GREGORY JAMES IMBARRATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
330 BILLINGSLEY RD STE 202, CHARLOTTE, NC 28211-5020
(704) 316-3070
(704) 316-3071
Mailing address
800 PRUDENTIAL DR FL B11, JACKSONVILLE, FL 32207-8202
(904) 388-6518
(904) 384-1005
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
125061753
IL
207T00000X
Neurological Surgery Physician
Primary
2019-00971
NC
207T00000X
Neurological Surgery Physician
OS14995
FL
Other
Enumeration date
06/26/2012
Last updated
10/26/2020
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