Individual
DR. CARLA JUDE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 RANDOLPH RD, CHARLOTTE, NC 28207-1101
(704) 384-5420
(704) 384-5424
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-5416
(704) 384-5992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200400165
NC
208M00000X
Hospitalist Physician
Primary
200400165
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238442
—
SC
05
—
891363P
—
NC
Enumeration date
03/02/2006
Last updated
11/03/2022
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