Individual
DR. MEGIN LATRELL GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10810 MALLARD CREEK RD, CHARLOTTE, NC 28262-9786
(704) 510-8000
(704) 510-8006
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 510-8000
(704) 510-8006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
164487
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164487
RESIDENT TRAINING LICENSE
NC
Enumeration date
04/19/2010
Last updated
03/07/2023
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