Individual
DR. IRM BELLAVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11111 CARMEL COMMONS BLVD, SUITE 220, CHARLOTTE, NC 28226-5319
(704) 540-1488
(704) 540-0195
Mailing address
11111 CARMEL COMMONS BLVD, SUITE 220, CHARLOTTE, NC 28226-5319
(704) 540-1488
(704) 540-0195
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
200200641
NC
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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