Individual
DR. NAIM EZZAT BOUHUSSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
738 BRYANT ST, SUITE A, STATESVILLE, NC 28677-4189
(704) 873-1180
(704) 873-1116
Mailing address
PO BOX 896199, CHARLOTTE, NC 28289-1845
(833) 936-1364
(605) 942-7505
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
9600461
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8917048
—
NC
Enumeration date
08/20/2006
Last updated
02/18/2021
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