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1366476681
EASTOVER PSYCHOLOGICAL & PSYCHIATRIC GROUP, PA
CHARLOTTE, NC
NPI
1366476681
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Entity Type
Organization
Authorized Contact
JOHN EDWARD HUMPHREY
President
704-362-2663
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date
2006-07-11
Last Update Date
2011-05-02
Business Address
EASTOVER PSYCHOLOGICAL & PSYCHIATRIC GROUP, PA
3303 LATROBE DR
CHARLOTTE, NC 28211-4851
Phone number: 704-362-2663
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Mailing Address
EASTOVER PSYCHOLOGICAL & PSYCHIATRIC GROUP, PA
3303 LATROBE DR
CHARLOTTE, NC 28211-4851
Phone number: 704-362-2663
Copy
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