Provider Type Icon

SONA MEDSPA PHYSICIAN GROUP PLLC NPI 1396270468


NPI Information

NPI: 1396270468
Provider Name: SONA MEDSPA PHYSICIAN GROUP, PLLC

Doing Business As: SONA DERMATOLOGY & MEDSPA

Classification: Dermatology - 207NI0002X
Entity Type: Organization

Specialization: Clinical & Laboratory Dermatological Immunology

CLIA Number: 34D2155428

Address:
7825 BALLANTYNE COMMONS PKWY
SUITE 300
CHARLOTTE, NC
ZIP 28277
Phone: (704) 544-8776
Get Directions

SONA MEDSPA PHYSICIAN GROUP, PLLC is a clinical and laboratory dermatological immunology dermatology in Charlotte, NC. The provider is a dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. SONA MEDSPA PHYSICIAN GROUP, PLLC NPI is 1396270468. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sona Dermatology & Medspa.

The provider's business location address is:

7825 BALLANTYNE COMMONS PKWY
SUITE 300
CHARLOTTE, NC
ZIP 28277-174
Phone: (704) 544-8776

The provider's authorized official is David L Bryant .
The authorized official title is Ceo and has the following contact phone number (980) 233-3200.

The CLIA number assigned to this NPI record is 34D2155428 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/26/2017 and was last updated on 7/30/2020.


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
1207NI0002XDermatologyClinical & Laboratory Dermatological Immunology121359NORTH 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: 11/14/2023

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.