Individual
MADHAVI KEERTHIVARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 AUGUSTUS BEAMON DR, INDIAN TRAIL, NC 28079-0405
(980) 833-2540
Mailing address
1420 AUGUSTUS BEAMON DR, INDIAN TRAIL, NC 28079-0405
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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