MEDICARE: KENDALL REBECCA MCDILL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2024-02323	NC
2	207Q00000X	Family Medicine Physician	MMD.87702	SC

General Provider Information

NPI Number	:	1982353660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDALL REBECCA MCDILL MD

Provider Business Mailing Address
First Line	:	2005 PISGAH CHURCH RD
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27455-3309
Country	:	US
Telephone Number	:	336-716-9150
Fax Number	:

Provider Business Practice Location Address
First Line	:	2005 PISGAH CHURCH RD
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27455-3309
Country	:	US
Telephone Number	:	843-777-2800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2022
Last Update Date	:	02/02/2026

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