Individual
VADIM KOROGODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4534 FALLOWOOD TER, HIGH POINT, NC 27265-9495
(336) 875-6530
Mailing address
601 N ELM ST, HIGH POINT, NC 27262-4331
(336) 875-6530
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
103691
NC
367500000X
Certified Registered Nurse Anesthetist
576032
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
6327
NC
Other
Enumeration date
04/27/2015
Last updated
10/23/2025
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