| Wissam Edward Nadra, MD | |
|
275 N. Hwy 16. Suite: 103, Lakeshore Pediatric Center, Denver, NC 28037 | |
| (704) 489-8401 | |
| (704) 489-8404 |
| Full Name | Wissam Edward Nadra |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 275 N. Hwy 16. Suite: 103, Denver, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154318350 | NPI | - | NPPES |
| 89126ER | Medicaid | NC | |
| 5950140 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2000-00103 (North Carolina) | Primary |
| 208000000X | Pediatrics | A67393 (California) | Secondary |
| 208000000X | Pediatrics | 27533 (Arizona) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Wissam Edward Nadra, MD Lakeshore Pediatric Center, P.o. Box 1470, Denver, NC 28037 Ph: (704) 489-8401 | Wissam Edward Nadra, MD 275 N. Hwy 16. Suite: 103, Lakeshore Pediatric Center, Denver, NC 28037 Ph: (704) 489-8401 |
Julissa Grace Joyce, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 409 Olin Way, Ste 2300, Denver, NC 28037 Phone: 704-801-4577 | |
Ann Elizabeth Pittoni Condon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 269 Gillman Rd Ste 200a, Denver, NC 28037 Phone: 704-316-5287 Fax: 704-316-5268 | |
Jennifer Louise Bushey Colyer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 409 Olin Way, Ste 2300, Denver, NC 28037 Phone: 704-801-4577 | |
Dr. William M Barrett, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 514 N Nc 16 Business Hwy, Denver, NC 28037 Phone: 828-244-4475 Fax: 828-970-5912 | |
Julia Richards, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 269 Gillman Rd Ste 200a, Denver, NC 28037 Phone: 704-316-5287 Fax: 704-316-5268 | |
Jessica Swann Jones, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 409 Olin Way Ste 2300, Denver, NC 28037 Phone: 704-801-4577 |