Individual
GLORIA KYOMUHENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-5416
(704) 384-5992
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-5416
(704) 384-5992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301112757
MI
208M00000X
Hospitalist Physician
Primary
2020-03595
NC
Other
Enumeration date
06/20/2017
Last updated
10/26/2020
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