Daniel, Max & Marcandrea, LLC
NPI #1043807100 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1043807100
- Entity Type
- Organization
- Organization Name
- Daniel, Max & Marcandrea, LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Dec 23, 2020
- Last Updated
- Feb 22, 2021
Practice Location
- Address
- 4704 SOUTH BLVD STE A
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28217-2745
- Phone
- (704) 270-8585
Authorized Official
- Name
- JACKIE BENNETT
- Title
- CREDENTIALING SUPERVISOR
- Phone
- (561) 612-4531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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