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Individual

JAMES J BEDRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2015 RANDOLPH RD, SUITE 108, CHARLOTTE, NC 28207-1200
(704) 334-2020
(704) 334-2020
Mailing address
2025 DELPOND LN, CHARLOTTE, NC 28226-6467
(704) 334-2020
(704) 334-6175

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
14216
SC
207W00000X
Ophthalmology Physician
Primary
26082
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8914330
NC
05
N26082
SC
Enumeration date
03/17/2006
Last updated
12/31/2012
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