Individual
CHARLES BUXTON DODGE ROEBLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
4732 LEBANON RD STE D, MINT HILL, NC 28227-9112
(704) 763-2059
Mailing address
4732 LEBANON RD STE D, MINT HILL, NC 28227-9112
(704) 763-2059
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11125
NC
Other
Enumeration date
01/21/2020
Last updated
01/30/2020
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