Individual
DR. FRED C. CULPEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14214 BALLANTYNE LAKE RD, SUITE 300, CHARLOTTE, NC 28277-3372
(704) 540-4460
(704) 540-4502
Mailing address
14214 BALLANTYNE LAKE RD, SUITE 300, CHARLOTTE, NC 28277-3372
(704) 540-4460
(704) 540-4502
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18182
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26454
BCBS
NC
05
—
8926454
—
NC
05
—
N18182
—
SC
Enumeration date
07/25/2006
Last updated
10/30/2009
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