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Individual

PATRICE Y BIDGOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2925 E INDEPENDENCE BLVD # 53, CHARLOTTE, NC 28205-7034
(704) 236-3156
Mailing address
2000 ST LUKE ST, CHARLOTTE, NC 28216-4837
(704) 236-3156

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary

Other

Enumeration date
09/02/2024
Last updated
09/02/2024
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