Organization · Type 2 NPI

Carolinas Physicians Network Inc

Sports Medicine (Family Medicine) Physician · Charlotte, NC

NPI number 1639425796 Active

Practice location

3030 Randolph Rd, Ste 105
Charlotte, NC 28211-1368

Call (704) 863-4878 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Family Medicine) Physician Primary 207QS0010XNone listed
Sports Medicine (Internal Medicine) Physician 207RS0010XNone listed

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 1639425796

Carolinas Physicians Network Inc's National Provider Identifier is 1639425796, issued on Jul 26, 2012. 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 Nov 20, 2025.