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Individual

AIKYA F WALDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
500 E LAUCHWOOD DR, LAURINBURG, NC 28352-5501
(910) 291-7781
Mailing address
6135 PARK SOUTH DR STE 510, CHARLOTTE, NC 28210-0100
(704) 749-3116

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200001482
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
127YC
NC BLUE CROSS
NC
01
200943360
RAILROAD MEDICARE
NC
01
2337601
MEDICARE OTHER IDENTFIER
NC
05
89127YC
NC
Enumeration date
06/09/2006
Last updated
09/23/2024
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