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1134872252
KODIAK MEDICAL PA
CHARLOTTE, NC
NPI
1134872252
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Entity Type
Organization
Authorized Contact
SACHIN SURENDRA MODY
Owner
855-837-8808
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2022-01-28
Last Update Date
2022-05-20
Business Address
KODIAK MEDICAL PA
10926 DAVID TAYLOR DR STE 120-105
CHARLOTTE, NC 28262-1293
Phone number: 888-566-4201
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Mailing Address
KODIAK MEDICAL PA
10926 DAVID TAYLOR DR STE 120-105
CHARLOTTE, NC 28262-1293
Phone number: 888-566-4201
Copy
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