Individual provider · Type 1 NPI

Gina Licause, MD

Family Medicine Physician · Charlotte, NC

NPI number 1699762039 Active

Practice location

101 E Wt Harris Blvd, Ste 5002
Charlotte, NC 28262-3485

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 150 Professional Park Dr, Ste 400, Mooresville, NC 28117-5603 · (704) 801-7360
  • 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372 · (704) 667-2650
  • 101 E W T Harris Blvd, Ste 5401, Charlotte, NC 28262-3485 · (704) 863-9700
  • 10226 Couloak Dr, Ste 100, Charlotte, NC 28216-7675 · (704) 801-7380

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X35695 (NC)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1699762039

Gina Licause, MD's National Provider Identifier is 1699762039, issued on Sep 30, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Charlotte, NC. The record was last updated on Sep 27, 2021.