Neogenix Lake Norman, PC
NPI #1730903436 in Cornelius, North Carolina
Provider Information
- NPI Number
- 1730903436
- Entity Type
- Organization
- Organization Name
- Neogenix Lake Norman, PC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Nov 11, 2024
- Last Updated
- Nov 11, 2024
Practice Location
- Address
- 19475 OLD JETTON RD STE 102
- City
- Cornelius
- State
- North Carolina
- ZIP Code
- 28031-6591
- Phone
- (704) 727-6551
Authorized Official
- Name
- MR. NIKITAS WILLIAM MILES
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (704) 727-6551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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