Individual
DR. JEFFREY DAVID WARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Mailing address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2009-01780
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1580F
BCBS
NC
05
—
1831393578
—
NC
05
—
330430
—
SC
Enumeration date
06/14/2007
Last updated
05/14/2021
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