Individual provider · Type 1 NPI

Payton Gregory Fennell, D.O

Sports Medicine (Family Medicine) Physician · Charlotte, NC

NPI number 1306906086 Active

Practice location

4741 Randolph Rd
Charlotte, NC 28211-2919

Call (704) 365-6730 Map

Fax (704) 365-6731

Mailing address

52 12th Ave NE
Hickory, NC 28601-2798

Other practice locations

5641 Poplar Tent Rd, Suite 101, Concord, NC 28027-7533 · (704) 782-1955
52 12th Ave NE, Hickory, NC 28601 · (828) 485-3004

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	200601317 (NC)
Sports Medicine (Family Medicine) Physician Primary	207QS0010X	200601317 (NC)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1306906086

Payton Gregory Fennell, D.O's National Provider Identifier is 1306906086, issued on Dec 11, 2006. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Charlotte, NC. The record was last updated on Jun 14, 2021.