Individual
DR. SELWYN SPANGENTHAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1918 RANDOLPH RD, STE. 440, CHARLOTTE, NC 28207-1100
(704) 342-8143
(704) 926-8044
Mailing address
1918 RANDOLPH RD, STE. 440, CHARLOTTE, NC 28207-1100
(704) 342-8143
(704) 926-8044
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
26374
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891256U
—
NC
Enumeration date
10/10/2005
Last updated
07/08/2007
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