Individual
NGOC DU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 403-3664
Mailing address
920 CHURCH STREET NORTH, CONCORD, NC 28025
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2015-00149
NC
Other
Enumeration date
07/02/2009
Last updated
09/21/2018
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