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Contact Information

BRANDON GYNECOLOGY ASSOCIATES, PA
10310 MALLARD CREEK RD STE 101D
MALLARD CROSSING MEDICAL PARK
CHARLOTTE, NC28262-4563
 Phone: 704-654-6765
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for BRANDON GYNECOLOGY ASSOCIATES PA · (Female)

NPI Number 1952736142
Status Active
Credentials
Entity Individual
Enumeration date 09/06/2013
Last updated 09/06/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 9601242
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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