Lee C. Pederson M.D.

NPI 1083690622 - Surgery - 208600000X

NPI Details
NPI 1083690622
Gender Male
Enumeration Date 12/15/2005
Last Updated 05/16/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1918 RANDOLPH ROAD
SUITE 130 SURGICAL SPECIALISTS OF CHARLOTTE, P.A.
CHARLOTTE NC, 28207, US
Phone (704) 364-8100
Fax (704) 365-2073
Business Location
1918 RANDOLPH RD
STE. 130
CHARLOTTE NC, 28207-1100, US
Phone (704) 364-8100
Fax (704) 365-2073
Toxanomy
Taxonomy Code 208600000X
License State North Carolina
License Number 200300515
Remove 1083690622 NPI Number
 

According to our database, Dr. Lee C. Pederson M.D. NPI is 1083690622, taxonomy code is 208600000X and license number is 200300515, license state is located at North Carolina. Lee C. Pederson M.D. physically located at 1918 Randolph Road, Charlotte NC, 28207. NPI Number Lee C. Pederson M.D. has the Individual type.

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1083690622 NPI number is provided on an as is basis without warranty of any kind. 1083690622 is maintained by the National Plan & Provider Enumeration System. The contents of Lee C. Pederson M.D. are for informational purposes only.