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Search › North Carolina › 207RI0011X

Glen Fandetti, MD

NPI 1265656094 · on the registry since 2007

Practice

Address
101 E W T Harris Blvd
Ste 1213
Charlotte, NC 28262
Phone
(704) 863-1950
Organisation at this address
University Pediatrics
Carolinas Medical Center
Carolinas Physicians Network Inc
Carolinas Physicians Network Inc
Carolinas Physicians Network Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
111

Additional practice sites

  • 1237 Harding Pl, Charlotte, NC
  • 1550 Faulk St, Monroe, NC
  • 10650 Park Rd, Charlotte, NC
  • 16455 Statesville Rd, Huntersville, NC

Registry record

Primary taxonomy
207RI0011X
207RI0011X
Also registered as
207R00000X
207RC0000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-17

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