Most Relevant Information
Provider Data
| NPI Number: | 1003668856 |
| Provider Name: | WILLIAM DAVID LAIDIG |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/04/2024 |
| Last Updated: | 06/14/2024 |
Provider Practice Location
1350 S KINGS DR FL 3
CHARLOTTE
NC
282072134
Practice Location Phone/Fax
| Phone: | 7044461242 |
| Fax: |
Provider Mailing Location
1350 S KINGS DR FL 3
CHARLOTTE
NC
282072134
Provider Mailing Phone/Fax
| Phone: | 7044461242 |
| Fax: |