Madison Oldham, CO
Madison Oldham, CO is an Orthotist in Concord, North Carolina. Licensed in North Carolina. Registered with an NPI since 2020.
- Licensed in
- NC
- In the registry since
- 2020
Practice location Address checks out
470 Copperfield Blvd NEConcord, NC 28025-2404
Phone: (704) 782-0908
Fax: (704) 786-0469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthotist (primary) | Taxonomy 222Z00000X · Licence CO006216 (NC) |
|---|
Record details
| NPI number | 1932719531 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CO |
| Sole proprietor | No |
| NPI enumerated | August 7, 2020 |
| Last updated in NPPES | August 7, 2020 |
| Certification date | August 7, 2020 |
| Mailing address | 470 Copperfield Blvd Ne, Concord, NC 28025-2404 |
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Mr. Corey L Pena, CO
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Amanda Nicole Randolph, CO
470 Copperfield Blvd NE, Concord, NC 28025-2404 · (704) 782-0908