Individual
ANNE PARKER BERGWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
927 EAST BLVD, CHARLOTTE, NC 28203-5203
(704) 377-5772
Mailing address
927 EAST BLVD, CHARLOTTE, NC 28203-5203
(704) 377-5772
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200101014
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89129VN
—
NC
Enumeration date
07/03/2006
Last updated
10/18/2007
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