Individual provider · Type 1 NPI

Diana Tong Roetting, PA-C

Medical Physician Assistant · Charlotte, NC

NPI number 1891036059 Active

Practice location

130 Providence Rd Ste 100
Charlotte, NC 28207-1242

Fax (704) 333-9757

Mailing address

2952 Craftsman Ln
Charlotte, NC 28204-4392

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0010-04133 (NC)

Medical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1891036059

Diana Tong Roetting, PA-C's National Provider Identifier is 1891036059, issued on Mar 12, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charlotte, NC. The record was last updated on Nov 20, 2014.