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Contact Information

MARTIMBEAU GYNECOLOGIC ONCOLOGY PA
330 BILLINGSLEY RD
STE 202
CHARLOTTE, NC28211
 Phone: 704-334-8644
 Fax: 704-358-1466
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MARTIMBEAU GYNECOLOGIC ONCOLOGY PA · (Female)

NPI # 1154364867
Status Active
Credentials
Entity Individual
Enumeration date 06/13/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 24267
  • NC Medicaid 8902093
  • NC Medicaid 8954121
  • NC Other 02093 BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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