Organization · Type 2 NPI

Carolinas Medical Center

Sports Medicine (Physical Medicine & Rehabilitation) Physician · Monroe, NC

NPI number 1609174515 Active

Practice location

1106 Reynolds St, Suite 200
Monroe, NC 28112-4375

Call (704) 512-4400 Map

Fax (704) 512-4401

Mailing address

PO Box 601372
Charlotte, NC 28260-1372

Specialties and licenses

Taxonomy	Code	License
Spinal Cord Injury Medicine Physician	2081P0004X	None listed
Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary	2081S0010X	None listed

Sports Medicine (Physical Medicine & Rehabilitation) Physician: A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology…

26 other providers at this address

NPI record

NPI: 1609174515
Entity type: Organization (Type 2)
Issued: Mar 2, 2011
Last updated: Mar 2, 2011
Status: Active
Subpart: Yes of Carolinas Medical Center

Other names

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Carolinas Back and Sports Specialists · doing business as

Authorized official

Dennie Underwood
Vice President
(704) 355-3147

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1609174515

Carolinas Medical Center's National Provider Identifier is 1609174515, issued on Mar 2, 2011. The primary taxonomy on file is Sports Medicine (Physical Medicine & Rehabilitation) Physician (2081S0010X), and the practice location is in Monroe, NC. The record was last updated on Mar 2, 2011.