Individual
OSVALDO A CAMILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1918 RANDOLPH RD, SUITE 400, CHARLOTTE, NC 28207-1100
(704) 384-9437
(704) 384-9440
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9437
(704) 384-9440
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
200401180
NC
2084N0400X
Neurology Physician
304515
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904399
—
NC
05
—
N01180
—
SC
Enumeration date
07/25/2006
Last updated
11/14/2017
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