Individual
JEKO METODIEV MADJAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1237 HARDING PL, STE 3100, CHARLOTTE, NC 28204
(704) 373-0212
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2005-00627
NC
2086S0129X
Vascular Surgery Physician
2005-00627
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2005-00627
NC
Other
Enumeration date
03/06/2007
Last updated
12/19/2023
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