SOUTHPARK FUNCTIONAL MEDICINE PLLC

CHARLOTTE, NC
NPI1275223638
Entity TypeOrganization
Authorized ContactSARITA MAHTANI
Physician
704-560-3316
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2023-05-10
Last Update Date2023-08-02
Business Address
SOUTHPARK FUNCTIONAL MEDICINE PLLC
5950 FAIRVIEW RD STE 406
CHARLOTTE, NC 28210-3113
Phone number: 704-560-3316
Mailing Address
SOUTHPARK FUNCTIONAL MEDICINE PLLC
5950 FAIRVIEW RD STE 406
CHARLOTTE, NC 28210-3113
Phone number:
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