Diddams, Maxwell Johannes

Diddams, Maxwell Johannes is an sole proprietor health care provider with primary practice located at 1090 Ne Gateway Ct Ne Ste 201 , Concord NC 28025-2423. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Diddams, Maxwell Johannes can be contacted via phone (704) 403-7770.

Contact Information

Primary practice address
1090 Ne Gateway Ct Ne Ste 201 Concord NC 28025-2423
Phone: (704) 403-7770
Fax: (704) 403-7779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 227243 North Carolina
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 2021-00610 North Carolina
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 2021-00610 North Carolina

Profile Details

NPI number 1740716000
LBN Legal business name Diddams, Maxwell Johannes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2017
Last updated Jul 4th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers