National Provider Identifier Database

GRACE C PAMINTUAN, MD – NPI #1790837342
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.


Contact Information

GRACE C PAMINTUAN, MD
10616 METROMONT PKWY
SUITE 104
CHARLOTTE, NC28269
Phone: 704-921-6659
Fax: 704-921-6698
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for GRACE C PAMINTUAN

NPI Number 1790837342
Credentials MD
Entity Individual
Enumeration date 01/16/2007
Last updated 03/14/2014 - About 12 years ago
Sole proprietor1 Yes
Identifiers
  • NC License #: 9700121
  • NC Medicaid: 891070P
Hospital affiliation n/a

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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