Individual
DREW FUKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2825 RANDOLPH RD, CHARLOTTE, NC 28211-1018
(704) 377-1647
Mailing address
2825 RANDOLPH RD, CHARLOTTE, NC 28211-1018
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
088164
NC
Other
Enumeration date
09/13/2011
Last updated
11/01/2012
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