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Individual

DR. OMAR IDLIBI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1815 BACK CREEK DR, CHARLOTTE, NC 28213-2159
(704) 598-8818
Mailing address
1815 BACK CREEK DR, CHARLOTTE, NC 28213-2159

Taxonomy

Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
9300397
NC
207ZC0500X
Cytopathology Physician
9300397
NC
207ZP0101X
Anatomic Pathology Physician
Primary
9300397
NC

Other

Enumeration date
06/15/2005
Last updated
03/12/2019
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