MECKLENBURG MEDICAL GROUP

CHARLOTTE, NC
NPI1700102506
Doing Business AsMECKLENBURG MEDICAL GROUP (MMG)
Entity TypeOrganization
Authorized ContactTHOMAS LAYMON
Senior Vice President
704-446-8250
Organization Subpart ?Yes
Primary Taxonomy207N00000X Dermatology
Additional Taxonomies207R00000X Internal Medicine
207RB0002X Internal Medicine, Bariatric Medicine
207RC0000X Internal Medicine, Cardiovascular Disease
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
207RG0100X Internal Medicine, Gastroenterology
207RG0300X Internal Medicine, Geriatric Medicine
207RH0003X Internal Medicine, Hematology & Oncology
207RI0200X Internal Medicine, Infectious Disease
207RP1001X Internal Medicine, Pulmonary Disease
207RR0500X Internal Medicine, Rheumatology
207RS0012X Internal Medicine, Sleep Medicine
207RX0202X Internal Medicine, Medical Oncology
Enumeration Date2010-04-19
Last Update Date2021-09-27
Business Address
MECKLENBURG MEDICAL GROUP
10650 PARK RD STE 420
CHARLOTTE, NC 28210-8538
Phone number: 704-302-8700
Mailing Address
MECKLENBURG MEDICAL GROUP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number: 704-631-0002