NORTH CHARLOTTE FAMILY MEDICINE PLLC NPI 1508180803

NPI Information

NPI: 1508180803
Provider Name: NORTH CHARLOTTE FAMILY MEDICINE PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2801 CRISMAN ST
CHARLOTTE, NC
ZIP 28208
Phone: (704) 392-4108
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NORTH CHARLOTTE FAMILY MEDICINE PLLC 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. NORTH CHARLOTTE FAMILY MEDICINE PLLC NPI is 1508180803. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2801 CRISMAN ST
CHARLOTTE, NC
ZIP 28208-847
Phone: (704) 392-4108
Fax: (704) 392-4109

The provider's authorized official is Steven Sewanyana .
The authorized official title is M.d./owner and has the following contact phone number (704) 392-4108.

The enumeration date for this NPI number is 3/16/2010 and was last updated on 7/19/2010.

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	207Q00000X	Family Medicine		200500253	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	5914149	MEDICAID	NORTH 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

NPI Synchronization or Removal

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