Individual
DR. DEMETRIOS HERODOTOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
512 VILLAGE RD STE 205, SHALLOTTE, NC 28470-3409
(910) 721-4230
(910) 721-4239
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(910) 721-4230
(910) 721-4239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51100
KY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2021-02512
NC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
51100
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200164530
—
IN
Enumeration date
10/11/2005
Last updated
11/01/2022
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