IndividualActive
Bo Nebolisa
NPI 1962906222 · Cardiovascular Disease Physician · Charlotte, NC
Provider details
- NPI number
- 1962906222
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 2022-00677 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1237 Harding Place
Suite 3100
Charlotte, NC 28204
Phone: (704) 373-0212
Approximate (ZIP-level) locationGet directions
Mailing address
1237 Harding Place
Charlotte, NC 28204
Additional practice locations (2)
- 1430 Tulane Ave # Sl50New Orleans, LA 70112-2632Phone: (540) 988-7809Fax: (504) 988-3971
- 160 Dental CirChapel Hill, NC 27599-2632Phone: (919) 966-5201Fax: (919) 966-1743
Registry dates
- Enumerated
- 2018-03-21
- Last updated
- 2025-08-05
- Certified
- 2025-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.