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Search › North Carolina › 363A00000X

Derek Coburn, P.A

NPI 1861851784 · on the registry since 2016

Practice

Address
2001 Vail Ave
Charlotte, NC 28207
Phone
(208) 863-8974
Organisation at this address
Orthocarolina, Pa
Mercy Hospital, Inc
Mercy Hospital, Inc
Mercy Hospital, Inc
Mercy Hospital, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
320

Additional practice sites

  • 14214 Ballantyne Lake Rd Ste 100, Charlotte, NC

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
207P00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-06-10

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