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MECKLENBURG MEDICAL GROUP NPI 1558686188


NPI Information

NPI: 1558686188
Provider Name: MECKLENBURG MEDICAL GROUP

Doing Business As: MECKLENBURG MEDICAL GROUP (MMG)

Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
15110 JOHN J DELANEY DR
STE 200
CHARLOTTE, NC
ZIP 28277
Phone: (704) 302-8100
Get Directions

MECKLENBURG MEDICAL GROUP is a dermatology in Charlotte, NC. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. MECKLENBURG MEDICAL GROUP NPI is 1558686188. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mecklenburg Medical Group (mmg).

The provider's business location address is:

15110 JOHN J DELANEY DR
STE 200
CHARLOTTE, NC
ZIP 28277-544
Phone: (704) 302-8100

The provider's authorized official is Scott Rissmiller .
The authorized official title is Enterprise Evp and has the following contact phone number (704) 355-8675.

The enumeration date for this NPI number is 4/7/2010 and was last updated on 2/4/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseNo
2207R00000XInternal MedicineNo
3207RB0002XInternal MedicineObesity MedicineNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
6207RG0100XInternal MedicineGastroenterologyNo
7207RG0300XInternal MedicineGeriatric MedicineNo
8207RH0003XInternal MedicineHematology & OncologyNo
9207RI0200XInternal MedicineInfectious DiseaseNo
10207RR0500XInternal MedicineRheumatologyNo
11207RS0012XInternal MedicineSleep MedicineNo
12207RX0202XInternal MedicineMedical OncologyNo
13207N00000XDermatologyYes

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

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