Individual
BRIAN G BUDDENDECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
225 BALDWIN AVE, CHARLOTTE, NC 28204-3109
(704) 376-1605
(704) 335-8448
Mailing address
225 BALDWIN AVE, CHARLOTTE, NC 28204-3109
(704) 376-1605
(704) 335-8448
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102794
NC
363AM0700X
Medical Physician Assistant
102794
NC
363AS0400X
Surgical Physician Assistant
102794
NC
Other
Enumeration date
05/10/2006
Last updated
05/09/2024
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