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1720338247
MD2U NORTH CAROLINA LLC
CHARLOTTE, NC
NPI
1720338247
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Entity Type
Organization
Authorized Contact
GREGORY DAVID LATTA
CIO
502-416-1851
Organization Subpart ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2012-09-12
Last Update Date
2012-09-12
Business Address
MD2U NORTH CAROLINA LLC
228 WESTINGHOUSE BLVD STE 104
CHARLOTTE, NC 28273-6246
Phone number: 502-327-9100
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Mailing Address
MD2U NORTH CAROLINA LLC
140 WHITTINGTON PKWY STE 100
LOUISVILLE, KY 40222-4930
Phone number: 502-327-9100
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