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Contact Information

CEDRIC A WALLS, MD
8110 HEALTHCARE LOOP
CHARLOTTE, NC28215
 Phone: 704-316-2319
 Fax: 704-316-2321
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for CEDRIC A WALLS · (Male)

NPI # 1629287222
Status Active
Credentials MD
Entity Individual
Enumeration date 05/21/2007
Last updated 10/26/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01073306A
  • NC License # 2018-01059
  • IN Medicaid 201199040
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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