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QUEENS UNIVERSITY OF CHARLOTTE NPI 1457986515


NPI Information

NPI: 1457986515
Provider Name: QUEENS UNIVERSITY OF CHARLOTTE
Classification: Family Medicine - 207QS0010X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 34D0869311

Address:
1900 SELWYN AVE
CHARLOTTE, NC
ZIP 28274
Phone: (972) 367-4845
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QUEENS UNIVERSITY OF CHARLOTTE is a sports medicine family medicine in Charlotte, NC. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. QUEENS UNIVERSITY OF CHARLOTTE NPI is 1457986515. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1900 SELWYN AVE
CHARLOTTE, NC
ZIP 28274-001
Phone: (972) 367-4845

The provider's authorized official is Mouzon Bass .
The authorized official title is Administrator/agent and has the following contact phone number (972) 367-4845.

The CLIA number assigned to this NPI record is 34D0869311 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2020 and was last updated on 3/10/2020.


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
1207QS0010XFamily MedicineSports MedicineYes

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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