Individual
DR. SIMON VIVIAN WARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1918 RANDOLPH RD, SUITE 670, CHARLOTTE, NC 28207-1100
(704) 384-1620
(704) 384-1626
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1620
(704) 384-1626
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
30970
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8985668
—
NC
Enumeration date
04/05/2006
Last updated
11/18/2022
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