Organization · Type 2 NPI

Southern Mobile Medical Group PA

General Practice Physician · Charlotte, NC

NPI number 1730903675 Active

Practice location

5804 Monroe Rd Ste C
Charlotte, NC 28212-6183

Call (385) 499-5535 Map

Mailing address

PO Box 3044
Houston, TX 77253-3044

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone 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.

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About NPI 1730903675

Southern Mobile Medical Group PA's National Provider Identifier is 1730903675, issued on Nov 7, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Charlotte, NC. The record was last updated on Feb 24, 2026.