Organization
BRANDON GYNECOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROCHELLE M BRANDON M.D. (OWNER/PRESIDENT)
(704) 654-6765
Entity
Organization
Contact information
Practice address
10310 MALLARD CREEK RD STE 101D, MALLARD CROSSING MEDICAL PARK, CHARLOTTE, NC 28262-4563
(704) 654-6765
Mailing address
4409 RANCLIFFE CT, CHARLOTTE, NC 28269-8403
(704) 654-6765
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
9601242
NC
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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