Provider Demographics
NPI:1689661100
Name:VALEDON, FRANCISCO ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:ANTONIO
Last Name:VALEDON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1867 REMOUNT RD
Mailing Address - Street 2:STE D
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-7401
Mailing Address - Country:US
Mailing Address - Phone:704-854-8799
Mailing Address - Fax:704-854-8803
Practice Address - Street 1:1867 REMOUNT RD
Practice Address - Street 2:SUITE D
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-7401
Practice Address - Country:US
Practice Address - Phone:704-854-8799
Practice Address - Fax:704-854-8803
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2009-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC200200823207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891316CMedicaid
SCN00823Medicaid
NC2004457Medicare PIN
NC891316CMedicaid