METROLINA NEPHROLOGY ASSOCIATES PA NPI 1083664189

NPI Information

NPI: 1083664189
Provider Name: METROLINA NEPHROLOGY ASSOCIATES, PA
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 34D0967403

Address:
3158 FREEDOM DRIVE
STE 3101
CHARLOTTE, NC
ZIP 28208
Phone: (704) 348-2992
Get Directions

METROLINA NEPHROLOGY ASSOCIATES, PA is a nephrology internal medicine in Charlotte, NC. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. METROLINA NEPHROLOGY ASSOCIATES, PA NPI is 1083664189. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3158 FREEDOM DRIVE
STE 3101
CHARLOTTE, NC
ZIP 28208
Phone: (704) 348-2992
Fax: (704) 334-3061

The provider's authorized official is George M. Hart .
The authorized official title is President/physician and has the following contact phone number (704) 332-0396.

The CLIA number assigned to this NPI record is 34D0967403 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 6/20/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	39934 REGISTRATION #	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7902155	MEDICAID	NORTH CAROLINA
2	N02155	MEDICAID	SOUTH 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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