Organization
NEOGENIX LAKE NORMAN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIKITAS WILLIAM MILES (DIRECTOR OF OPERATIONS)
(704) 727-6551
Entity
Organization
Contact information
Practice address
19475 OLD JETTON RD STE 102, CORNELIUS, NC 28031-6591
(704) 727-6551
(704) 669-8670
Mailing address
16147 LANCASTER HWY STE 140, CHARLOTTE, NC 28277-4782
(704) 727-6551
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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