Organization
NEOGENIX, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIKITAS WILLIAM MILES (MANAGEMENT COMPANY)
(518) 577-7506
Entity
Organization
Contact information
Practice address
16147 LANCASTER HWY STE 140, CHARLOTTE, NC 28277-4782
(518) 577-7506
Mailing address
10109 VICTORIA MILL CT, CHARLOTTE, NC 28277-2146
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
09/11/2020
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