Individual
MR. CHARLES J. NIEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 SUMMIT CROSSING PLACE, SUITE 108, GASTONIA, NC 28054-2189
(704) 865-0077
(704) 867-6401
Mailing address
620 SUMMIT CROSSING PLACE, SUITE 108, GASTONIA, NC 28054-2189
(704) 865-0077
(704) 867-6401
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15139
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8962672
—
NC
Enumeration date
02/09/2006
Last updated
08/31/2010
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