Individual
NICOLE HADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
136 E 36T ST SUITE 200, CHARLOTTE, NC 28206
(704) 801-3400
Mailing address
136 E 36TH ST STE 200, CHARLOTTE, NC 28206-2018
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2018-02789
NC
207P00000X
Emergency Medicine Physician
Primary
OS018751
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033022310001
—
PA
Enumeration date
03/30/2014
Last updated
02/07/2025
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