Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | C52629 | NC |
N | 222Z00000X | Podiatrist | C52629 | NC |
Y | 224P00000X | Prosthetist | PRO114 | FL |
NPI | 1437660834 |
---|---|
Provider Name | Mr. Christos George Lemonis |
First Address | Charlotte, NC 28210-8501 |
Second Address | Charlotte, NC 28210-8501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2017 |
Last Update Date | 12/10/2017 |