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Gina Licause, MD
NPI 1699762039 · on the registry since 2005
Practice
- Address
- 101 E Wt Harris Blvd
Ste 5002
Charlotte, NC 28262 - Phone
- (704) 801-7310
- Organisation at this address
- Orthocarolina Pa
Carolinas Medical Center-Northeast
Pathology Associates Services, Inc
Carolinas Medical Center-Northeast
Endoscopy Center - University, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 45
Additional practice sites
- 14214 Ballantyne Lake Rd, Charlotte, NC
- 10226 Couloak Dr, Charlotte, NC
- 101 E W T Harris Blvd, Charlotte, NC
- 150 Professional Park Dr, Mooresville, NC
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-27
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