Most Relevant Information
Provider Data
| NPI Number: | 1003827296 |
| Provider Name: | JOHN MICHAEL FEDOR MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 20899 |
Most Important Dates
| Enumeration Date: | 08/11/2006 |
| Last Updated: | 07/22/2024 |
Provider Practice Location
1237 HARDING PL
STE 3100
CHARLOTTE
NC
28204
Practice Location Phone/Fax
| Phone: | 7043730212 |
| Fax: |
Provider Mailing Location
PO BOX 19305
CHARLOTTE
NC
282199305
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Internist EMR