Md2u North Carolina LLC

NPI #1720338247 in Charlotte, North Carolina

Provider Information

NPI Number
1720338247
Entity Type
Organization
Organization Name
Md2u North Carolina LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MD2U MANAGEMENT LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Sep 12, 2012
Last Updated
Sep 12, 2012

Practice Location

Address
228 WESTINGHOUSE BLVD STE 104
ZIP Code
28273-6246
Phone
(502) 327-9100

Authorized Official

Name
GREGORY DAVID LATTA
Title
CIO
Phone
(502) 416-1851

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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