HomeNPI Verification

NPI Verification

National Provider Identifier: 1396061347

Mecklenburg Medical Group

Organization

Primary Specialty

Dermatology

Code: 207N00000X

All Specialties (13)

Internal Medicine

Code: 207R00000X

Internal Medicine, Bariatric Medicine

Code: 207RB0002X

Internal Medicine, Cardiovascular Disease

Code: 207RC0000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine, Gastroenterology

Code: 207RG0100X

Internal Medicine, Geriatric Medicine

Code: 207RG0300X

Internal Medicine, Hematology & Oncology

Code: 207RH0003X

Internal Medicine, Infectious Disease

Code: 207RI0200X

Internal Medicine, Pulmonary Disease

Code: 207RP1001X

Internal Medicine, Rheumatology

Code: 207RR0500X

Internal Medicine, Sleep Medicine

Code: 207RS0012X

Internal Medicine, Medical Oncology

Code: 207RX0202X

Dermatology

Code: 207N00000X

Primary

Practice Address

7666 CHARLOTTE HWY

STE 200

INDIAN LAND, SC 297077000

Phone: 803-431-8225

NPI Enumeration Date

April 15, 2010

NPI Number

1396061347

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry