Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 2013-00620 | NC |
NPI | 1063698686 |
---|---|
Provider Name | Lejla Hadzikadic Gusic |
First Address | Charlotte, NC 28219-9305 |
Second Address | Charlotte, NC 28207-2134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2008 |
Last Update Date | 20/01/2021 |