Individual
DR. JEFFREY G CARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10816 BLACK DOG LN, SUITE 160, CHARLOTTE, NC 28214-1478
(704) 316-3970
(704) 316-3971
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 510-8000
(704) 510-8006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39769
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8920658
—
NC
Enumeration date
04/05/2006
Last updated
03/18/2015
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