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1710720214
PROMED NC 10917 PLLC
CHARLOTTE, NC
NPI
1710720214
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Entity Type
Organization
Authorized Contact
LEV GRINMAN
Member
704-231-9331
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2024-06-13
Last Update Date
2024-06-13
Business Address
PROMED NC 10917 PLLC
10917 BLACK DOG LN STE 104
CHARLOTTE, NC 28214-1486
Phone number: 704-231-9331
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Mailing Address
PROMED NC 10917 PLLC
4 LEGENDS CIR
MELVILLE, NY 11747-5302
Phone number: 646-673-1666
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