Kedist Tedla MD

NPI 1063451078 - Internal Medicine - 207R00000X

NPI Details
NPI 1063451078
Gender Female
Enumeration Date 06/05/2006
Last Updated 09/30/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
INDIAN LAND SC, 29707-7000, US
Phone (704) 302-9600
Fax (803) 431-8226
Business Location
PO BOX 601643
CHARLOTTE NC, 28260-1643, US
Phone (704) 302-9600
Fax (803) 431-8226
Taxonomy Code 207R00000X
License State North Carolina
License Number 200401137
Remove 1063451078 NPI Number

According to our database, Dr. Kedist Tedla MD NPI is 1063451078, taxonomy code is 207R00000X and license number is 200401137, license state is located at North Carolina. Kedist Tedla MD physically located at 7666 Charlotte Hwy, Indian Land SC, 29707-7000. NPI Number Kedist Tedla MD has the Individual type.

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1063451078 NPI number is provided on an as is basis without warranty of any kind. 1063451078 is maintained by the National Plan & Provider Enumeration System. The contents of Kedist Tedla MD are for informational purposes only.