Provider Demographics
NPI:1275509127
Name:IGLEHART, JAMES NELSON (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:NELSON
Last Name:IGLEHART
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 MEDICAL PARK DR STE 400
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-0906
Mailing Address - Country:US
Mailing Address - Phone:704-786-1108
Mailing Address - Fax:704-782-1826
Practice Address - Street 1:200 MEDICAL PARK DR STE 400
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-0939
Practice Address - Country:US
Practice Address - Phone:704-786-1108
Practice Address - Fax:704-786-1121
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2021-06-14
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Provider Licenses
StateLicense IDTaxonomies
NC34047208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCE95479Medicare UPIN
NC2160474Medicare PIN