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1396738167
ELIZABETH BUMGARNER
CHARLOTTE, NC
NPI
1396738167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 2010-01070)
Enumeration Date
2005-08-26
Last Update Date
2019-02-12
Business Address
ELIZABETH BUMGARNER
14214 BALLANTYNE LAKE RD SUITE 300
CHARLOTTE, NC 28277-3372
Phone number: 704-667-2600
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Mailing Address
ELIZABETH BUMGARNER
14214 BALLANTYNE LAKE RD
CHARLOTTE, NC 28277-3372
Phone number:
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