Individual
MRS. GRACE KITTRELL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1524 E MOREHEAD ST, CHARLOTTE, NC 28207-1606
(704) 343-3400
Mailing address
1524 E MOREHEAD ST, CHARLOTTE, NC 28207-1606
(512) 659-1911
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
0010-08272
NC
363A00000X
Physician Assistant
0010-08272
NC
Other
Enumeration date
11/01/2018
Last updated
01/06/2026
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