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1093165425
JENNIFER SUSAN DAVIS PRABHU
CHARLOTTE, NC
NPI
1093165425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 2019-02021)
Enumeration Date
2016-06-16
Last Update Date
2024-07-15
Business Address
JENNIFER SUSAN DAVIS PRABHU MD
1900 SCOTT AVE STE 200
CHARLOTTE, NC 28203-6046
Phone number: 704-381-0280
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Mailing Address
JENNIFER SUSAN DAVIS PRABHU MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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