Organization
CHARLOTTE OPHTHALMOLOGY CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON C WHITESIDE MD (PRESIDENT)
(704) 895-8200
Entity
Organization
Contact information
Practice address
16610 BIRKDALE COMMONS PKWY STE A, HUNTERSVILLE, NC 28078-5646
(704) 895-8200
(704) 997-8708
Mailing address
16610 BIRKDALE COMMONS PKWY STE A, HUNTERSVILLE, NC 28078-5646
(704) 895-8200
(704) 997-8708
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32307
NC
Other
Enumeration date
04/20/2006
Last updated
09/24/2020
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