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Organization

NEAD MEDICAL PC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADEWUNMI AKANDE MD (MRDICAL DIRECTOR)
(704) 319-9045
Entity
Organization

Contact information

Practice address
10504 PARK RD, CHARLOTTE, NC 28210-8405
(704) 319-9045
(704) 319-9046
Mailing address
10504 PARK RD, CHARLOTTE, NC 28210-8405
(704) 319-9045
(704) 319-9046

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
97-01215
NC
261QP3300X
Pain Clinic/Center
97-01215
NC

Other

Enumeration date
04/19/2010
Last updated
04/19/2010
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