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1275562571
JENNIFER STATIS
CHARLOTTE, NC
NPI
1275562571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 2006-00781)
Enumeration Date
2006-07-01
Last Update Date
2020-04-20
Business Address
JENNIFER STATIS MD
6025 BLAKENEY PARK DR STE 100
CHARLOTTE, NC 28277-5703
Phone number: 704-667-4480
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Mailing Address
JENNIFER STATIS MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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