Kellogg Medical Pllc
NPI #1528699089 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1528699089
- Entity Type
- Organization
- Organization Name
- Kellogg Medical Pllc
- Primary Specialty
- Family Medicine - Addiction Medicine
- Enumeration Date
- Feb 3, 2020
- Last Updated
- Nov 27, 2023
Practice Location
- Address
- 10352 PARK RD
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28210-8401
- Phone
- (704) 288-1097
Authorized Official
- Name
- ALAN GOODSTAT, LCSW
- Title
- COO
- Phone
- (704) 288-1097
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Addiction Medicine — Addiction Medicine |
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