Individual
ADRIAN DANIEL HADIONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 MEDICAL PARK DR, STE 202, CONCORD, NC 28025-1902
(704) 403-1911
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2021-00563
NC
2084N0600X
Clinical Neurophysiology Physician
Primary
2021-00563
NC
Other
Enumeration date
03/23/2016
Last updated
07/15/2024
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