PEACH STATE MEDICAL PRACTICE PC NPI 1801544093

NPI Information

PEACH STATE MEDICAL PRACTICE, PC is a reproductive endocrinology obstetrics gynecology in Charlotte, NC. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. PEACH STATE MEDICAL PRACTICE, PC NPI is 1801544093. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

420 PROVIDENCE RD
CHARLOTTE, NC
ZIP 28207
Phone: (855) 563-2639

The provider's authorized official is Fahimeh Sasan .
The authorized official title is Founding Obgyn and has the following contact phone number (855) 563-2639.

The enumeration date for this NPI number is 3/16/2022 and was last updated on 3/16/2022.

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:

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