Charlotte Radiology PA
NPI #1003110677 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1003110677
- Entity Type
- Organization
- Organization Name
- Charlotte Radiology PA
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Dec 22, 2010
- Last Updated
- Mar 17, 2018
Practice Location
- Address
- 1025 MOREHEAD MEDICAL DR STE 150
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28204-2973
- Phone
- (704) 362-5391
Authorized Official
- Name
- JANE T LUTZ
- Title
- MANAGER PAYER PRIVILEGING
- Phone
- (704) 362-5391
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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