KEDIST TEDLA

CHARLOTTE, NC
NPI1063451078
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NC  200401137)
Additional Taxonomies208M00000X Hospitalist
(Licence: SC  35314)
208M00000X Hospitalist
(Licence: NC  200401137)
Enumeration Date2006-06-05
Last Update Date2020-10-25
Business Address
KEDIST TEDLA
10628 PARK RD
CHARLOTTE, NC 28210-8407
Phone number: 704-667-7070
Mailing Address
KEDIST TEDLA
10628 PARK RD
CHARLOTTE, NC 28210-8407
Phone number: