NC MEDTECH PLLC NPI 1922256254

NPI Information

  • NPI: 1922256254
  • Provider Name: NC MEDTECH PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: METROLINA PLASTIC SURGERY
  • CLIA Number: 34D2126667
  • Address: 10620 PARK RD
    SUITE 102
    CHARLOTTE, NC
    ZIP 28210
  • Phone: (305) 866-9951

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NPI Details

NC MEDTECH 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. NC MEDTECH PLLC NPI is 1922256254. The provider is registered as an organization entity type.
The provider Is Doing Business As Metrolina Plastic Surgery.

The provider's business location address is:

10620 PARK RD
SUITE 102
CHARLOTTE, NC
ZIP 28210-472
Phone: (305) 866-9951
Fax: (877) 284-8933

The provider's authorized official is Broc Lane Pratt .
The authorized official title is President and has the following contact phone number (704) 541-7654.

The CLIA number assigned to this NPI record is 34D2126667 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/28/2008 and was last updated on 3/11/2010.

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
1261QM2500XClinic/CenterMedical Specialty77796NORTH CAROLINANo
2207Q00000XFamily Medicine77796NORTH CAROLINAYes

What is NPI?

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This page was last updated on: 11/21/2025

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