Individual
DR. GEORGE DANIEL KRYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 US 70 HIGHWAY E, GARNER, NC 27529-4049
(919) 235-6400
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
106776
MN
207R00000X
Internal Medicine Physician
Primary
2024-00413
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0066-0022220
MEDICA
MN
01
—
1972814176
PRIME WEST HEALTHCARE
MN
05
—
1972814176
—
MN
05
—
1972814176
—
NC
01
—
56608
MN LICENSE
MN
Enumeration date
06/23/2010
Last updated
04/11/2024
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