BRANDON GYNECOLOGY ASSOCIATES PA NPI 1952736142

NPI Information

BRANDON GYNECOLOGY ASSOCIATES, PA is a gynecology obstetrics gynecology in Charlotte, NC. BRANDON GYNECOLOGY ASSOCIATES, PA NPI is 1952736142. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10310 MALLARD CREEK RD STE 101D
MALLARD CROSSING MEDICAL PARK
CHARLOTTE, NC
ZIP 28262-563
Phone: (704) 654-6765

The provider's authorized official is Rochelle M Brandon .
The authorized official title is Owner/president and has the following contact phone number (704) 654-6765.

The CLIA number assigned to this NPI record is 34D2073675 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/6/2013 and was last updated on 9/6/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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