Mr Gary David Waldman, MD | |
10512 Park Rd, Suite 113, Charlotte, NC 28210-8469 | |
(704) 542-8018 | |
(704) 542-7147 |
Full Name | Mr Gary David Waldman |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 10512 Park Rd, Charlotte, 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 |
---|---|---|---|
1487615795 | NPI | - | NPPES |
7985246 | Medicaid | NC | |
070009176 | Other | NC | RAILROAD MEDICARE |
85246 | Other | NC | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 26610 (North Carolina) | Primary |
Entity Name | Pinnacle Dermatology Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861930984 PECOS PAC ID: 8628353380 Enrollment ID: O20200713001681 |
Mailing Address | Practice Location Address |
---|---|
Mr Gary David Waldman, MD 10512 Park Rd, Suite 113, Charlotte, NC 28210-8469 Ph: (704) 542-8018 | Mr Gary David Waldman, MD 10512 Park Rd, Suite 113, Charlotte, NC 28210-8469 Ph: (704) 542-8018 |
Dr. Coleman Eric Altman, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2630 E Seventh St, Suite 200, Charlotte, NC 28204 Phone: 704-364-6110 Fax: 704-364-4245 | |
Sam Wu, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 309 S Sharon Amity Rd Ste 200, Charlotte, NC 28211 Phone: 704-344-8846 | |
Dr. Deborah Gardner Nixon, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8936 Blakeney Professional Dr, Charlotte, NC 28277 Phone: 704-341-0090 Fax: 704-341-0092 | |
Dr. Curtis Wayne Schupbach, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2620 E 7th St, Charlotte, NC 28204 Phone: 704-358-9900 Fax: 704-344-0105 | |
Daren Diiorio, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4525 Cameron Valley Pkwy, Ste 2100, Charlotte, NC 28211 Phone: 704-355-5100 | |
Dr. Marc Alan Darst, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11301 Golf Links Dr N, Suite 203, Charlotte, NC 28277 Phone: 704-321-3376 Fax: 704-541-6558 | |
Jonathan M Olson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15830 Ballantyne Medical Pl, Suite 225, Charlotte, NC 28277 Phone: 704-919-1105 Fax: 704-910-3163 |