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1730903675
SOUTHERN MOBILE MEDICAL GROUP PA
CHARLOTTE, NC
NPI
1730903675
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Entity Type
Organization
Authorized Contact
MIKHAIL LE ROUX
CEO/Founder
385-499-5535
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2024-11-07
Last Update Date
2024-12-05
Business Address
SOUTHERN MOBILE MEDICAL GROUP PA
5804 MONROE RD STE C
CHARLOTTE, NC 28212-6183
Phone number: 385-499-5535
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Mailing Address
SOUTHERN MOBILE MEDICAL GROUP PA
128 COLUMBUS ST APT 303
CHARLESTON, SC 29403-4868
Phone number: 385-499-5535
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