Individual
MA CRISTINA MERERIA OCAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6824 HARRISBURG RD, CHARLOTTE, NC 28227-3389
(704) 870-6014
Mailing address
PO BOX 746724, ATLANTA, GA 30374-6724
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2007010571
MO
207Q00000X
Family Medicine Physician
Primary
202103242
NC
207Q00000X
Family Medicine Physician
4301079826
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659357309
—
MO
01
—
P00635283
RAILROAD MEDICARE
MO
Enumeration date
12/15/2005
Last updated
10/11/2022
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