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1942206131
MICHELLE SCULLOCK
CHARLOTTE, NC
NPI
1942206131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NC 200101130)
Enumeration Date
2005-06-22
Last Update Date
2021-02-11
Business Address
MICHELLE SCULLOCK MD
3025 SPRINGBANK LN STE 100
CHARLOTTE, NC 28226-3362
Phone number: 704-446-2620
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Mailing Address
MICHELLE SCULLOCK MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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