Individual
KEDIST TEDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(704) 667-7070
Mailing address
10628 PARK RD, CHARLOTTE, NC 28210-8407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200401137
NC
208M00000X
Hospitalist Physician
200401137
NC
208M00000X
Hospitalist Physician
35314
SC
Other
Enumeration date
06/05/2006
Last updated
10/25/2020
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