Individual
DR. GUILHERME LOUBACK CORRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
136 E 36TH ST STE 200, CHARLOTTE, NC 28206-2018
(704) 801-3400
Mailing address
136 E 36TH ST STE 200, CHARLOTTE, NC 28206-2018
(512) 743-2453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023-01795
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
03/10/2024
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