Individual
DR. EMMANUEL JOHN BOTZOLAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3623 LATROBE DR STE 216, CHARLOTTE, NC 28211
(704) 332-1291
(704) 332-5206
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(704) 332-1291
(704) 332-5206
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2017-01091
NC
Other
Enumeration date
06/29/2010
Last updated
09/25/2020
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