Individual provider · Type 1 NPI

Madison Alexandra Redwine, PA

Physician Assistant · Charlotte, NC

NPI number 1457080418 Active

Practice location

3333 Wilkinson Blvd
Charlotte, NC 28208-5631

Fax (704) 398-3173

Mailing address

214 Bellemeade St Apt 304, Wilkinson Blvd
Greensboro, NC 27401-2572

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-12313 (NC)
Medical Physician Assistant 363AM0700XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1457080418

Madison Alexandra Redwine, PA's National Provider Identifier is 1457080418, issued on Jun 6, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charlotte, NC. The record was last updated on Mar 9, 2026.