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MECKLENBURG PULMONARY SPECIALISTS PLLC NPI 1184748519


NPI Information

NPI: 1184748519
Provider Name: MECKLENBURG PULMONARY SPECIALISTS, PLLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2711 RANDOLPH RD
STE 208
CHARLOTTE, NC
ZIP 28207
Phone: (704) 926-5433
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MECKLENBURG PULMONARY SPECIALISTS, PLLC is a specialist in Charlotte, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MECKLENBURG PULMONARY SPECIALISTS, PLLC NPI is 1184748519. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2711 RANDOLPH RD
STE 208
CHARLOTTE, NC
ZIP 28207-034
Phone: (704) 926-5433
Fax: (704) 926-5460

The provider's authorized official is Carl Smart .
The authorized official title is Owner and has the following contact phone number (704) 926-5469.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 2/5/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist9400640NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18977165MEDICAIDNORTH CAROLINA
22199937MMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
3F31098MEDICARE UPINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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