SIMON ST. JOHN PRENDIVILLE

CHARLOTTE, NC
NPI1023076353
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: NC  200300278)
Enumeration Date2006-05-03
Last Update Date2022-04-05
Business Address
Dr. SIMON ST. JOHN PRENDIVILLE MD
2015 RANDOLPH ROAD SUITE 208
CHARLOTTE, NC 28207-1200
Phone number: 704-377-4009
Mailing Address
Dr. SIMON ST. JOHN PRENDIVILLE MD
13808 PROFESSIONAL CENTER DR
HUNTERSVILLE, NC 28078-7948
Phone number: 704-377-4009
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