Alfred Kendrick, | |
1653 Campus Park Dr, Suite A, Monroe, NC 28112-4005 | |
(704) 283-2000 | |
Not Available |
Full Name | Alfred Kendrick |
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Gender | Male |
Speciality | Pediatrics |
Location | 1653 Campus Park Dr, Monroe, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710905955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2005-01336 (North Carolina) | Primary |
Entity Name | Carolinas Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116 |
Entity Name | Carolinas Physicians Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
Entity Name | Charlotte Pediatric Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710914171 PECOS PAC ID: 1658263298 Enrollment ID: O20040327000227 |
Entity Name | University Pediatrics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073541124 PECOS PAC ID: 1951579481 Enrollment ID: O20110727000416 |
Mailing Address | Practice Location Address |
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Alfred Kendrick, 1653 Campus Park Dr, Monroe, NC 28112-4005 Ph: () - | Alfred Kendrick, 1653 Campus Park Dr, Suite A, Monroe, NC 28112-4005 Ph: (704) 283-2000 |
Dr. Robert John Kadijevic, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1328 Patterson Street, Union Pediatrics, Monroe, NC 28112 Phone: 704-283-2000 Fax: 704-225-0885 | |
Dr. Garnet D Maharajh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1994 Wellness Blvd, Suite 110, Monroe, NC 28110 Phone: 704-384-8460 Fax: 704-384-8465 | |
Dr. Deborah Queen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1994 Wellness Blvd, Suite 110, Monroe, NC 28110 Phone: 704-384-8460 Fax: 704-384-8465 | |
Dr. Laura Taylor Pridemore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1994 Wellness Blvd Ste 110, Monroe, NC 28110 Phone: 704-384-8460 Fax: 704-384-8465 | |
Erin Lee Washburn, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1994 Wellness Blvd Ste 110, Monroe, NC 28110 Phone: 704-384-8460 | |
Dr. George P Thevaos, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1994 Wellness Blvd, Suite 110, Monroe, NC 28110 Phone: 704-384-8460 Fax: 704-384-8465 | |
Dakeya D Logan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3193 W Highway 74, Monroe, NC 28110 Phone: 704-698-4089 |