Carlos S. Anzola PA-C

NPI 1073596771 - Physician Assistant - 363AS0400X

NPI Details
NPI 1073596771
Gender Male
Enumeration Date 11/28/2005
Last Updated 03/11/2015
Entity Type Individual
Active Over 12 years ago
Practice Location
CHARLOTTE NC, 28204-2450, US
Phone (704) 316-5100
Fax (704) 316-5101
Business Location
PO BOX 60447
CHARLOTTE NC, 28260-0447, US
Phone (704) 316-5100
Fax (704) 316-5101
Taxonomy Code 363AS0400X
License State North Carolina
License Number 101089
Remove 1073596771 NPI Number

According to our database, Carlos S. Anzola PA-C NPI is 1073596771, taxonomy code is 363AS0400X and license number is 101089, license state is located at North Carolina. Carlos S. Anzola PA-C physically located at 301 Hawthorne Ln, Charlotte NC, 28204-2450. NPI Number Carlos S. Anzola PA-C has the Individual type.

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1073596771 NPI number is provided on an as is basis without warranty of any kind. 1073596771 is maintained by the National Plan & Provider Enumeration System. The contents of Carlos S. Anzola PA-C are for informational purposes only.