Individual
DR. MIRANDA CORDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16139 LANCASTER HWY STE 110, CHARLOTTE, NC 28277-2033
(704) 384-1440
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-4445
(704) 316-4446
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
156757
NC
208000000X
Pediatrics Physician
Primary
2012-00817
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992939979
—
NC
Enumeration date
05/06/2009
Last updated
10/25/2020
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