Organization
PROMED NC 10917 PLLC
Active
Organization
PROMED NC 10917 PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEV GRINMAN MD (MEMBER)
(704) 231-9331
Entity
Organization
Contact information
Practice address
10917 BLACK DOG LN STE 104, CHARLOTTE, NC 28214-1486
(704) 231-9331
Mailing address
4 LEGENDS CIR, MELVILLE, NY 11747-5302
(646) 673-1666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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