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MDFAMILY MEDICAL GROUP PA NPI 1407894058


NPI Information

NPI: 1407894058
Provider Name: MDFAMILY MEDICAL GROUP, PA

Former Legal Business Name: MDFAMILY MEDICAL GROUP, INC.

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2801 CRISMAN ST
CHARLOTTE, NC
ZIP 28208
Phone: (704) 393-1817
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MDFAMILY MEDICAL GROUP, PA is a general practice in Charlotte, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MDFAMILY MEDICAL GROUP, PA NPI is 1407894058. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Mdfamily Medical Group, Inc..

The provider's business location address is:

2801 CRISMAN ST
CHARLOTTE, NC
ZIP 28208-847
Phone: (704) 393-1817
Fax: (704) 393-9281

The provider's authorized official is William Murphy .
The authorized official title is Medical Director and has the following contact phone number (704) 527-6322.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 2/13/2009.


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
1208000000XPediatricsNo
2208D00000XGeneral PracticeYes

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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