Ted Freemon Cash, MD

Individual provider Active NPI Family Medicine Physician · Lawndale, NC

NPI 1174501704 · NPPES record last updated Feb 23, 2011

Key facts

NPI
1174501704
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
32662 (NC)
Practice address
5009 Fallston Rd
Lawndale, NC 28090-9585
Phone
(704) 484-3647
Fax
(704) 484-3260
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32662 NC Yes

Addresses

Primary practice location

5009 Fallston Rd
Lawndale, NC 28090-9585

Mailing address

808 Schenck St
Shelby, NC 28150-3934
Phone (704) 484-3647

Other identifiers

IdentifierTypeStateIssuer
7921578MedicaidNC

Other providers in Lawndale, NC

All providers in Lawndale, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.