Individual
DR. JUAN CARLOS LONDONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6824 HARRISBURG RD, CHARLOTTE, NC 28227-3389
(704) 870-6014
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 289-8427
(704) 283-5522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2007-01119
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02332176
—
NY
05
—
5907835
—
NC
Enumeration date
11/14/2006
Last updated
07/07/2022
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