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Organization

ALBEMARLE INTERNAL MEDICINE AND GERIATRICS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOUIS CHARLES KANDL M.D. (OWNER)
(704) 982-2189
Entity
Organization

Contact information

Practice address
331 N 1ST ST, ALBEMARLE, NC 28001-3904
(704) 982-2189
Mailing address
331 N 1ST ST, ALBEMARLE, NC 28001-3904
(704) 982-2189

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24258
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
018YE
BCBS OF NC
NC
05
5906379
NC
Enumeration date
02/12/2007
Last updated
05/16/2008
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