Organization · Type 2 NPI

Southeast Renal Associates PA

Specialist · Charlotte, NC

NPI number 1073697553 Active

Practice location

2301 W Morehead St
Charlotte, NC 28208-5178

Call (704) 333-4217 Map

Fax (704) 927-1767

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1073697553

Southeast Renal Associates PA's National Provider Identifier is 1073697553, issued on Oct 24, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Charlotte, NC. The record was last updated on Apr 20, 2008.