Individual
MARK S KREMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1718 E 4TH ST, STE 501, CHARLOTTE, NC 28204-3260
(704) 343-9800
(704) 347-2011
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 343-9800
(704) 347-2011
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
38643
NC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
38643
NC
207RI0011X
Interventional Cardiology Physician
38643
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8950292
—
NC
05
—
N38643
—
SC
Enumeration date
07/26/2005
Last updated
10/28/2020
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