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Contact Information

DANIELA M WHITESIDE, MD
19208 BETTY STOUGH RD
CORNELIUS, NC28031
 Phone: 704-728-9002
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for DANIELA M WHITESIDE · (Female)

NPI Number 1134352867
Status Active
Credentials MD
Entity Individual
Enumeration date 08/28/2009
Last updated 03/13/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2005-01237
  • SC License # 23928
  • SC Medicaid N01237
  • SC Other AA77322326 MEDICARE PTAN
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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