Dr. James Kenneth Dziadziola
Otolaryngologist (ENT Doctor)
645 Amalia St Ne
Concord
, North Carolina 28025-2434
Dr. James Kenneth Dziadziola
Otolaryngologist (ENT Doctor)
645 Amalia St Ne
Concord
, North Carolina 28025-2434
(704) 295-3255
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Dr. James Kenneth Dziadziola
- 645 Amalia St Ne Ste 1
- Concord, NC
- Zip : 28025-2434
- Phone : (704) 295-3255
Second Address
- Dr. James Kenneth Dziadziola
- 645 Amalia St Ne
- Concord, NC
- Zip : 28025-2434
- Phone : (704) 295-3255
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 9700538 | NC |
National Provider Identifier
| NPI | 1033108980 |
|---|---|
| Provider Name | Dr. James Kenneth Dziadziola |
| First Address | Concord, NC 28025-2434 |
| Second Address | Concord, NC 28025-2434 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2005 |
| Last Update Date | 16/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G57145 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.