Individual
ANGELA M CARRERO CAICEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15825 BALLANTYNE MEDICAL PL STE 200, CHARLOTTE, NC 28277-4790
(704) 384-1925
(704) 384-1930
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021-01707
NC
207R00000X
Internal Medicine Physician
P3127
TX
Other
Enumeration date
01/15/2012
Last updated
09/28/2021
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