Individual
DR. RONALD VANDERNOORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 PARK CENTER DR STE 300, MATTHEWS, NC 28105-5082
(704) 323-2000
Mailing address
4601 PARK RD, STE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2001-00620
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89129TN
—
NC
05
—
N00620
—
SC
Enumeration date
11/17/2005
Last updated
03/20/2018
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