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1295873024
PREM KUMAR MUTHU
STATESVILLE, NC
NPI
1295873024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NC 009501353)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
-- PREM KUMAR MUTHU MD
215 B WEST BROAD STREET
STATESVILLE, NC 28677
Phone number: 704-878-8884
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Mailing Address
-- PREM KUMAR MUTHU MD
PO BOX 551
STATESVILLE, NC 28687-0551
Phone number: 704-878-8884
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