Organization · Type 2 NPI

The Charlotte-Mecklenburg Hospital Authority

General Practice Physician · Kings Mountain, NC

NPI number 1679970586 Active

Practice location

706 W King St
Kings Mountain, NC 28086-2708

Call (980) 487-7436 Map

Mailing address

PO Box 32861
Charlotte, NC 28232-2861

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

42 other providers at this address

NPI record

NPI: 1679970586
Entity type: Organization (Type 2)
Issued: Nov 21, 2014
Last updated: Nov 1, 2018
Status: Active

Other names

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Atrium Health Kings Mountain · doing business as
Carolinas Healthcare System Kings Mountain · doing business as

Authorized official

Anthony Defurio
Executive Vice President and CFO
(704) 355-3304

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 1679970586

The Charlotte-Mecklenburg Hospital Authority's National Provider Identifier is 1679970586, issued on Nov 21, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Kings Mountain, NC. The record was last updated on Nov 1, 2018.