MDFAMILY MEDICAL GROUP PA NPI 1477615474

NPI Information

NPI: 1477615474
Provider Name: MDFAMILY MEDICAL GROUP, PA

Former Legal Business Name: MDFAMILY MEDICAL GROUP, INC.

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
230 E W T HARRIS BLVD
SUITE C-13
CHARLOTTE, NC
ZIP 28262
Phone: (704) 688-0324
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MDFAMILY MEDICAL GROUP, PA is a general practice in Charlotte, NC. MDFAMILY MEDICAL GROUP, PA NPI is 1477615474. 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:

230 E W T HARRIS BLVD
SUITE C-13
CHARLOTTE, NC
ZIP 28262-492
Phone: (704) 688-0324
Fax: (704) 549-8043

The provider's authorized official is William Murphy .
The authorized official title is Credentialing/finance Assistant and has the following contact phone number (704) 688-0324.

The enumeration date for this NPI number is 12/15/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics				No
2	208D00000X	General Practice				Yes

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

NPI Synchronization or Removal

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