DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SIMON ST. JOHN PRENDIVILLE, MD

Active

DR. SIMON ST. JOHN PRENDIVILLE, MD is a Gastroenterology healthcare provider located in CHARLOTTE, North Carolina. NPI 1023076353 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · CHARLOTTE, NC

Registration Details

NPI Number
1023076353
Provider Type
Individual
Gender
Male
NPI Issued
May 3, 2006 (20.101802198784 yrs)
Last Updated
Apr 5, 2022
License
200300278 (NC)

Practice Information

Address
2015 RANDOLPH ROAD
SUITE 208
CHARLOTTE, NC, 282071200
Browse NC providers · Browse ZIP 28207
Phone
7043774009
Primary Specialty
Gastroenterology
207RG0100X

Other Gastroenterology Providers in CHARLOTTE, NC

Name Credential NPI
OSCAR SVEN BRANN M.D. 1003891094
SHAILENDRA SINGH CHAUHAN MD 1164487286
DR. DENNIS D KOKENES M.D. 1407814999
DR. SANJIB P MOHANTY M.D. 1972561157
LAUREN INDIRA BROWNE MD 1225096878
DR. DAVID G SCHOLZ M.D. 1285682443
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.