Search › North Carolina › 152W00000X

Gaetan Banawoe

NPI 1235813650 · on the registry since 2023

Practice

Address
9841 Northlake Centre Pkwy
Charlotte, NC 28216
Phone
(704) 598-2468
Organisation at this address
North Carolina Cvs Pharmacy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Additional practice sites

  • 1016 S Church St, Charlotte, NC
  • 2391 Dave Lyle Blvd Unit 106, Rock Hill, SC

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152W00000X
Licence states on file
NC, SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina