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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GINA LICAUSE, MD

Active

GINA LICAUSE, MD is a Family Medicine healthcare provider located in CHARLOTTE, North Carolina. NPI 1699762039 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CHARLOTTE, NC

Registration Details

NPI Number
1699762039
Provider Type
Individual
Gender
Female
NPI Issued
Sep 30, 2005 (20.866995860958 yrs)
Last Updated
Sep 27, 2021
License
35695 (NC)

Practice Information

Address
101 E WT HARRIS BLVD
STE 5002
CHARLOTTE, NC, 282623485
Browse NC providers · Browse ZIP 28262
Phone
7048017310
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in CHARLOTTE, NC

Name Credential NPI
MR. SHASHANK MISHRA M.D. 1386641728
SUSAN LESTER 1073513388
SARAH ELIZABETH GOODMAN MD 1386644474
VINCENT FRANCIS HILLMAN M.D 1710988670
JOSEPH COLE MUELLER MD 1518968957
DR. CHARITY LYNN KARWOWSKI MD 1922009141
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.