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DR. CRYSTAL MONIQUE MACKIE M.D. NPI 1053546507


NPI Information

NPI: 1053546507
Provider Name: DR. CRYSTAL MONIQUE MACKIE, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
7903 PROVIDENCE RD STE 100
CHARLOTTE, NC
ZIP 28277
Phone: (704) 316-4460
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DR. Crystal Monique Mackie, M.D. is a family medicine in Charlotte, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Crystal Monique Mackie, M.D. NPI is 1053546507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7903 PROVIDENCE RD STE 100
CHARLOTTE, NC
ZIP 28277-763
Phone: (704) 316-4460
Fax: (704) 316-4466

The enumeration date for this NPI number is 5/27/2009 and was last updated on 11/16/2021.


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
1207Q00000XFamily MedicineMD040888DISTRICT OF COLUMBIANo
2207Q00000XFamily Medicine202001935NORTH CAROLINAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.