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Individual

DR. GARY MANILOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1918 RANDOLPH RD STE 600, CHARLOTTE, NC 28207-1198
(704) 342-0252
(980) 533-7801
Mailing address
1918 RANDOLPH RD STE 600, CHARLOTTE, NC 28207-1198
(704) 342-0252
(980) 533-7806

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
9300748
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0758842003
CIGNA
NC
01
104647
COVENTRY
NC
01
2382072
AETNA- HMO
NC
01
385001
MAMSI
NC
01
4451763
AETNA - NON-HMO
NC
01
53839
BCBS
NC
01
660003247
RAILROAD MEDICARE
NC
05
8953839
NC
01
9943
PARTNERS
NC
01
A7354
MEDCOST
NC
Enumeration date
05/23/2006
Last updated
09/19/2022
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