Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 200401495 | NC |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 200401495 | NC |
NPI | 1538144209 |
---|---|
Provider Name | Robert Alexander Erdin III |
First Address | Charlotte, NC 28209-3239 |
Second Address | Concord, NC 28025-0939 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2005 |
Last Update Date | 22/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1405P | BCBC OF NC (01) | |
182459 | MEDCOST (01) | |
2420568001 | CIGNA HEALTHCARE (01) | |
5643601 | FIRST HEALTH (01) | |
5902477 | (05) | NC |
7112718 | AETNA US HEALTHCARE (01) | |
CCN | 5643601 (01) | |
I05677 | (02) | |
Q0149K | (05) | SC |