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Organization

MIDTOWN & GYNECOLOGY ASSOCIATES P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY D PARKER M.D. (MANAGING PARTNER OF MIDTOWN OBGYN)
(704) 344-1000
Entity
Organization

Contact information

Practice address
1718 E 4TH ST, SUITE 707, CHARLOTTE, NC 28204-3260
(704) 344-1000
(704) 926-8098
Mailing address
1718 E 4TH ST, SUITE 707, CHARLOTTE, NC 28204-3260
(704) 344-1000
(704) 926-8098

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011A1
BLUE CROSS BLUE SHIELD
NC
05
89011A1
NC
Enumeration date
08/16/2005
Last updated
08/22/2020
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