Individual
MAMTA CHANDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CABARRUS AVE E STE 200, CONCORD, NC 28025-3781
(888) 849-7379
(855) 857-7333
Mailing address
101 CABARRUS AVE E STE 200, CONCORD, NC 28025-3781
(888) 849-7379
(855) 857-7333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5011646
NC
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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