National Provider Identifier Database

MARTIMBEAU GYNECOLOGIC ONCOLOGY PA
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


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
* Gynecology 207VG0400X
Gynecologic Oncology 207VX0201X

* Indicates primary specialty

NPI Profile & details for MARTIMBEAU GYNECOLOGIC ONCOLOGY PA

NPI Number 1154364867
Legal business name
LBN
MARTIMBEAU GYNECOLOGIC ONCOLOGY PA
Authorized official PIERRE MARTIMBEAU - (MD PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/13/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 24267
  • NC Medicaid: 8902093
  • NC Medicaid: 8954121
  • NC Other: 02093 BLUE CROSS

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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