Individual
EMILY FAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 381-9900
Mailing address
3426 SEAMAN DR, CHARLOTTE, NC 28217-1155
(704) 678-7727
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
202416511
NC
Other
Enumeration date
03/12/2025
Last updated
04/06/2026
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