Provider Demographics
NPI:1184152902
Name:OLEJARZ, ANNE AZRAK (DO)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:AZRAK
Last Name:OLEJARZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 890273
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28289-0273
Mailing Address - Country:US
Mailing Address - Phone:828-428-2446
Mailing Address - Fax:828-428-8226
Practice Address - Street 1:137 ISLAND FORD RD
Practice Address - Street 2:
Practice Address - City:MAIDEN
Practice Address - State:NC
Practice Address - Zip Code:28650-8735
Practice Address - Country:US
Practice Address - Phone:828-732-5000
Practice Address - Fax:828-732-5001
Is Sole Proprietor?:No
Enumeration Date:2017-05-24
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2020-03119207Q00000X
GA009104207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine