Individual
DR. LUIS EMILIO BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 RANDOLPH RD STE 800, CHARLOTTE, NC 28207-1110
(704) 384-1246
(704) 384-6072
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1246
(704) 384-6072
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2012-01513
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/01/2011
Last updated
09/23/2021
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