Simon Prendiville M.D.

NPI 1023076353 - Internal Medicine - 207RG0100X

NPI Details
NPI 1023076353
Gender Male
Enumeration Date 05/03/2006
Last Updated 09/01/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2015 RANDOLPH ROAD
SUITE 208
CHARLOTTE NC, 28207-1200, US
Phone (704) 377-4009
Fax
Business Location
13808 PROFESSIONAL CENTER DR
HUNTERSVILLE NC, 28078-7948, US
Phone (704) 377-4009
Fax
Toxanomy
Taxonomy Code 207RG0100X
License State North Carolina
License Number 200300278
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According to our database, Dr. Simon Prendiville M.D. NPI is 1023076353, taxonomy code is 207RG0100X and license number is 200300278, license state is located at North Carolina. Simon Prendiville M.D. physically located at 2015 Randolph Road, Charlotte NC, 28207-1200. NPI Number Simon Prendiville M.D. has the Individual type.

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1023076353 NPI number is provided on an as is basis without warranty of any kind. 1023076353 is maintained by the National Plan & Provider Enumeration System. The contents of Simon Prendiville M.D. are for informational purposes only.