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Contact Information

RANDOLPH J CORDLE, MD
1000 BLYTHE BLVD
CHARLOTTE, NC28203-5812
 Phone: 704-355-2171
 Fax: 704-355-5736
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Diagnostic Ultrasound

2085U0001X
 

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
 

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for RANDOLPH J CORDLE · (Male)

NPI # 1508896903
Status Active
Credentials MD
Entity Individual
Enumeration date 07/03/2006
Last updated 11/03/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01041556A
  • NC License # 2005-01146
  • NC License # 200501146
  • NC Medicaid 5900951
  • SC Medicaid N46005
  • NC Other 140JJ NCBCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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