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Search › North Carolina › 363AM0700X

Brent Deatherage, PA-C

NPI 1336373257 · on the registry since 2009

Practice

Address
1900 Randolph Rd
Suite 900
Charlotte, NC 28207
Phone
(704) 377-2424
Fax
(704) 377-2687
Organisation at this address
Metroview Pharmacy Inc
Novant Medical Group Inc
Z-Core Chiropractic, Pllc
Novant Medical Group, Inc.
Novant Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
86

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
363AS0400X
Licence states on file
FL, NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-08-10

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