Individual
REBECCA COLLVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-3176
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
165440
NC
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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